| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.53 | $1,070.00 | $2,812.00 | |
United
| Facility | $130.00 | $328.00 | $768.00 |
Lam Facetec/Foramot Drg Arthrd Lmbr Ea Addl Sgm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.53 | $1,070.00 | $2,812.00 | |
United
| Facility | $130.00 | $328.00 | $768.00 |