| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,702.83 | $1,702.83 | $8,500.00 | |
Medica
| Facility | $1,702.83 | $2,344.73 | $3,060.29 |
Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,702.83 | $1,702.83 | $8,500.00 | |
Medica
| Facility | $1,702.83 | $2,344.73 | $3,060.29 |