| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.09 | $1,000.00 | $2,812.00 | |
BCBS
| Facility | $866.69 | $866.69 | $1,040.03 | |
United
| Facility | $330.00 | $811.00 | $1,574.00 |
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.09 | $1,000.00 | $2,812.00 | |
BCBS
| Facility | $866.69 | $866.69 | $1,040.03 | |
United
| Facility | $330.00 | $811.00 | $1,574.00 |