| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.40 | $2,133.40 | $16,467.00 | |
Medcost
| Facility | $760.40 | $1,024.00 | $1,767.65 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |
Rescj Diaphragm W/Simple Repair
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.40 | $2,133.40 | $16,467.00 | |
Medcost
| Facility | $760.40 | $1,024.00 | $1,767.65 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |