| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,366.94 | $1,366.94 | $10,000.00 | |
Medica
| Facility | $1,366.94 | $1,902.83 | $4,100.82 |
Prostect Retropub Rad W/Wo Nrv Spar & Bi Plv Lym
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,366.94 | $1,366.94 | $10,000.00 | |
Medica
| Facility | $1,366.94 | $1,902.83 | $4,100.82 |