| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,806.71 | $1,806.71 | $8,500.00 | |
Medica
| Facility | $1,806.71 | $2,520.87 | $3,907.71 | |
United
| Facility | $3,240.00 | $3,240.00 | $3,240.00 |
Laps Gstr Rstcv Px W/Byp&Sm Int Rcnstj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,806.71 | $1,806.71 | $8,500.00 | |
Medica
| Facility | $1,806.71 | $2,520.87 | $3,907.71 | |
United
| Facility | $3,240.00 | $3,240.00 | $3,240.00 |