| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.09 | $201.09 | $201.09 | |
Martin's Point
| Facility | $201.09 | $201.09 | $201.09 |
Scrotal Exploration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.09 | $201.09 | $201.09 | |
Martin's Point
| Facility | $201.09 | $201.09 | $201.09 |