| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.00 | $1,728.00 | $4,695.67 | |
BCBS
| Facility | $4,696.97 | $5,700.00 | $7,668.33 | |
United
| Facility | $2,125.00 | $5,085.00 | $9,624.00 |
Revj Opn Arven Fstl W/Thrmbc Dial Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.00 | $1,728.00 | $4,695.67 | |
BCBS
| Facility | $4,696.97 | $5,700.00 | $7,668.33 | |
United
| Facility | $2,125.00 | $5,085.00 | $9,624.00 |