| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,588.91 | $3,889.54 | $16,467.00 | |
Medcost
| Facility | $1,354.03 | $1,836.00 | $3,214.25 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |
Rescj Prim Prtl Mal W/Bso & Omntc Tah & Lmphad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,588.91 | $3,889.54 | $16,467.00 | |
Medcost
| Facility | $1,354.03 | $1,836.00 | $3,214.25 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |