| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,187.24 | $3,187.24 | $8,500.00 | |
Medica
| Facility | $3,187.24 | $4,218.41 | $9,561.71 |
Rescj/Exc Les Base Pcf Foramen Vrt Bodies Idrl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,187.24 | $3,187.24 | $8,500.00 | |
Medica
| Facility | $3,187.24 | $4,218.41 | $9,561.71 |