| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,090.73 | $2,778.87 | $3,955.04 | |
United
| Facility | $4,505.00 | $13,831.00 | $44,924.00 |
Impltj/Rplcmt Ithcl/Edrl Drug Nfs Prgrbl Pump
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,090.73 | $2,778.87 | $3,955.04 | |
United
| Facility | $4,505.00 | $13,831.00 | $44,924.00 |