| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,706.14 | $3,955.04 | |
United
| Facility | $4,505.00 | $7,819.00 | $19,195.00 |
Lam Exc Ispi Les Oth/Thn Neo Idrl Lumbar
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,706.14 | $3,955.04 | |
United
| Facility | $4,505.00 | $7,819.00 | $19,195.00 |