| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,959.61 | $1,959.61 | $8,500.00 | |
Medica
| Facility | $1,959.61 | $2,596.77 | $3,487.68 |
Lam Exc Ispi Les Oth/Thn Neo Idrl Thoracic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,959.61 | $1,959.61 | $8,500.00 | |
Medica
| Facility | $1,959.61 | $2,596.77 | $3,487.68 |