| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $994.68 | $994.68 | $8,500.00 | |
Medica
| Facility | $918.05 | $1,293.08 | $2,189.19 | |
United
| Facility | $681.00 | $681.00 | $681.00 |
Exclusion Sm Int From Pelvis Mesh/Prosth/Tiss
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $994.68 | $994.68 | $8,500.00 | |
Medica
| Facility | $918.05 | $1,293.08 | $2,189.19 | |
United
| Facility | $681.00 | $681.00 | $681.00 |