| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,706.14 | $3,955.04 | |
United
| Facility | $1,649.00 | $2,257.00 | $6,383.00 |
Vcrpec Lat Xtrcavitary Dcmprn Thrc/Lmbr Ea Seg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,706.14 | $3,955.04 | |
United
| Facility | $1,649.00 | $2,257.00 | $6,383.00 |