| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $881.95 | $881.95 | $8,500.00 | |
Medica
| Facility | $881.95 | $1,146.54 | $2,645.85 |
Litt Les Icr Single Trajectory 1 Simple Lesion
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $881.95 | $881.95 | $8,500.00 | |
Medica
| Facility | $881.95 | $1,146.54 | $2,645.85 |