| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $560.00 | $1,238.00 | $2,250.00 | |
BCBS
| Facility | $983.94 | $1,194.06 | $1,606.40 | |
United
| Facility | $250.00 | $750.00 | $1,326.00 |
Bx Lvr Ndl Done Purpose Tm Oth Major Px
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $560.00 | $1,238.00 | $2,250.00 | |
BCBS
| Facility | $983.94 | $1,194.06 | $1,606.40 | |
United
| Facility | $250.00 | $750.00 | $1,326.00 |