| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $4,458.51 | |
United
| Facility | $650.00 | $1,754.00 | $5,201.00 |
Cstc Compl W/Continent Dvrj Opn Neobldr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $4,458.51 | |
United
| Facility | $650.00 | $1,754.00 | $5,201.00 |