| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $2,674.08 | $5,120.80 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |
Rescj/Exc Les Base Ant Crnl Fossa Indrl W/Wo Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $2,674.08 | $5,120.80 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |