| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,800.25 | $1,800.25 | $8,500.00 | |
Medica
| Facility | $1,800.25 | $2,426.96 | $3,218.71 |
Lam Exc Ispi Les Oth/Thn Neo Idrl Lumbar
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,800.25 | $1,800.25 | $8,500.00 | |
Medica
| Facility | $1,800.25 | $2,426.96 | $3,218.71 |