| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,707.00 | $7,629.00 | $10,260.00 | |
Anthem BCBS
| Facility | $9,920.00 | $11,936.00 | $15,915.00 | |
United
| Facility | $6,943.00 | $10,797.00 | $18,470.00 |
Revj Opn Arven Fstl W/Thrmbc Dial Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,707.00 | $7,629.00 | $10,260.00 | |
Anthem BCBS
| Facility | $9,920.00 | $11,936.00 | $15,915.00 | |
United
| Facility | $6,943.00 | $10,797.00 | $18,470.00 |