| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,059.44 | $7,799.00 | $21,886.00 | |
Medcost
| Facility | $900.52 | $1,271.33 | $1,595.94 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |
Litt Les Icr Single Trajectory 1 Simple Lesion
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,059.44 | $7,799.00 | $21,886.00 | |
Medcost
| Facility | $900.52 | $1,271.33 | $1,595.94 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |