| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $7,655.00 | $13,151.00 | |
Medica
| Facility | $55.00 | $2,879.49 | $4,857.00 | |
United
| Facility | $783.00 | $1,743.00 | $8,198.00 |
Rescj/Exc Les Base Ant Crnl Fossa Indrl W/Wo Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $7,655.00 | $13,151.00 | |
Medica
| Facility | $55.00 | $2,879.49 | $4,857.00 | |
United
| Facility | $783.00 | $1,743.00 | $8,198.00 |