| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $474.93 | $474.93 | $6,907.00 | |
United
| Facility | $143.00 | $143.00 | $143.00 |
Lam Facetec/Foramot Drg Arthrd Lmbr Ea Addl Sgm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $474.93 | $474.93 | $6,907.00 | |
United
| Facility | $143.00 | $143.00 | $143.00 |