| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,740.99 | $11,740.99 | $11,740.99 | |
United
| Facility | $5,188.00 | $5,188.00 | $18,767.00 |
Exc Prtd Tum/Prtd Glnd Lat Dsj&Prsrv Facial Nr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,740.99 | $11,740.99 | $11,740.99 | |
United
| Facility | $5,188.00 | $5,188.00 | $18,767.00 |