| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,456.00 | $4,919.00 | $12,600.00 | |
Medica
| Facility | $246.94 | $422.30 | $6,496.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |
Plastic Repair Introitus
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,456.00 | $4,919.00 | $12,600.00 | |
Medica
| Facility | $246.94 | $422.30 | $6,496.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |