| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $459.69 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $518.46 | $659.86 | $969.71 | |
United
| Facility | $3,085.00 | $4,262.00 | $17,636.00 |
Strtctc Impltj Nstim Eltrd W/Record Ea Array
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $459.69 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $518.46 | $659.86 | $969.71 | |
United
| Facility | $3,085.00 | $4,262.00 | $17,636.00 |