| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.55 | $178.55 | $8,500.00 | |
Medica
| Facility | $178.55 | $303.54 | $367.40 |
Lam Facetec/Foramot Drg Arthrd Lmbr Ea Addl Sgm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.55 | $178.55 | $8,500.00 | |
Medica
| Facility | $178.55 | $303.54 | $367.40 |