| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.06 | $3,038.00 | $4,387.00 | |
United
| Facility | $2,312.00 | $2,446.00 | $13,847.00 |
Thorcom Thrc W/Medstnl & Regional Lmphadec
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.06 | $3,038.00 | $4,387.00 | |
United
| Facility | $2,312.00 | $2,446.00 | $13,847.00 |