| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,841.80 | $3,038.00 | $4,387.00 | |
United
| Facility | $1,981.00 | $3,613.00 | $7,048.00 |
Exc Prtd Tum/Prtd Glnd Tot W/Uni Rad Nck Dsj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,841.80 | $3,038.00 | $4,387.00 | |
United
| Facility | $1,981.00 | $3,613.00 | $7,048.00 |