| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $836.00 | $836.00 | $1,772.70 | |
United
| Facility | $1,275.00 | $1,275.00 | $5,606.00 |
Anrct Xm Surg Req Anes General Spi/Edrl Dx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $836.00 | $836.00 | $1,772.70 | |
United
| Facility | $1,275.00 | $1,275.00 | $5,606.00 |