| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,402.55 | $8,646.91 | $8,646.91 | |
Martin's Point
| Facility | $4,402.55 | $8,646.91 | $20,176.68 |
Lam Exc/Evac Ispi Lesion Oth/Thn Neo Xdrl Lumbar
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,402.55 | $8,646.91 | $8,646.91 | |
Martin's Point
| Facility | $4,402.55 | $8,646.91 | $20,176.68 |