| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $522.58 | $522.58 | $8,500.00 | |
Medica
| Facility | $522.58 | $679.35 | $1,530.00 | |
United
| Facility | $1,530.00 | $1,530.00 | $5,320.62 |
Hrhc Ntrnl & Xtrnl 2/> Column/Group W/Fissu
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $522.58 | $522.58 | $8,500.00 | |
Medica
| Facility | $522.58 | $679.35 | $1,530.00 | |
United
| Facility | $1,530.00 | $1,530.00 | $5,320.62 |