| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.10 | $1,277.00 | $3,109.00 | |
United
| Facility | $375.00 | $1,151.00 | $2,421.00 |
Vcrpec Transprtl/Rpr Dcmprn Thrc Lmbr/Sac Ea Seg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.10 | $1,277.00 | $3,109.00 | |
United
| Facility | $375.00 | $1,151.00 | $2,421.00 |