| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.68 | $927.00 | $2,250.00 | |
BCBS
| Facility | $1,138.81 | $1,382.00 | $1,859.23 | |
United
| Facility | $375.00 | $1,213.00 | $2,488.00 |
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.68 | $927.00 | $2,250.00 | |
BCBS
| Facility | $1,138.81 | $1,382.00 | $1,859.23 | |
United
| Facility | $375.00 | $1,213.00 | $2,488.00 |