| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $6,365.94 | $6,365.94 | |
Anthem BCBS
| Facility | $8,512.20 | $16,774.39 | $28,708.24 | |
United
| Facility | $1,111.00 | $4,660.00 | $12,399.00 |
Laps Gstr Rstcv Px W/Byp&Sm Int Rcnstj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $6,365.94 | $6,365.94 | |
Anthem BCBS
| Facility | $8,512.20 | $16,774.39 | $28,708.24 | |
United
| Facility | $1,111.00 | $4,660.00 | $12,399.00 |