| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $266.72 | $266.72 | $8,500.00 | |
Medica
| Facility | $266.72 | $381.21 | $800.16 |
Perineoplasty Rpr Perineum Nonobstetrical Spx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $266.72 | $266.72 | $8,500.00 | |
Medica
| Facility | $266.72 | $381.21 | $800.16 |