| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.91 | $2,145.78 | $7,838.38 | |
Providence
| Facility | $78.30 | $119.50 | $168.84 | |
United
| Facility | $418.00 | $2,516.00 | $2,877.00 |
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.91 | $2,145.78 | $7,838.38 | |
Providence
| Facility | $78.30 | $119.50 | $168.84 | |
United
| Facility | $418.00 | $2,516.00 | $2,877.00 |