| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,826.06 | $6,247.72 | $16,467.00 | |
Medcost
| Facility | $2,373.94 | $2,903.00 | $5,345.63 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |
Rescj/Exc Les Base Ant Crnl Fossa Indrl W/Wo Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,826.06 | $6,247.72 | $16,467.00 | |
Medcost
| Facility | $2,373.94 | $2,903.00 | $5,345.63 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |