| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,161.12 | $3,038.00 | $4,387.00 | |
United
| Facility | $2,312.00 | $2,446.00 | $13,847.00 |
Revj Gstr/Jj Anast W/Rcnstj W/O Vgtmy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,161.12 | $3,038.00 | $4,387.00 | |
United
| Facility | $2,312.00 | $2,446.00 | $13,847.00 |