| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $264.42 | $936.00 | $2,010.00 | |
United
| Facility | $624.00 | $1,236.00 | $5,253.00 |
Vcrpec Lat Xtrcavitary Dcmprn Thrc/Lmbr Ea Seg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $264.42 | $936.00 | $2,010.00 | |
United
| Facility | $624.00 | $1,236.00 | $5,253.00 |