| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $2,247.71 | $4,041.82 | |
United
| Facility | $2,896.00 | $5,455.00 | $12,000.00 |
Lam Exc Ispi Les Oth/Thn Neo Idrl Lumbar
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $2,247.71 | $4,041.82 | |
United
| Facility | $2,896.00 | $5,455.00 | $12,000.00 |