| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,315.56 | $2,315.56 | $8,500.00 | |
Medica
| Facility | $2,315.56 | $2,849.79 | $6,946.68 |
Rescj/Exc Les Base Ant Crnl Fossa Indrl W/Wo Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,315.56 | $2,315.56 | $8,500.00 | |
Medica
| Facility | $2,315.56 | $2,849.79 | $6,946.68 |