| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $265.27 | $265.27 | $8,500.00 | |
Medica
| Facility | $265.27 | $370.76 | $795.81 |
Strtctc Impltj Nstim Eltrd W/O Record Ea Array
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $265.27 | $265.27 | $8,500.00 | |
Medica
| Facility | $265.27 | $370.76 | $795.81 |