| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $2,335.94 | $4,227.45 | |
United
| Facility | $2,896.00 | $5,455.00 | $12,152.00 |
Lam Bx/Exc Ispi Neo Idrl Xmed Lumbar
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $2,335.94 | $4,227.45 | |
United
| Facility | $2,896.00 | $5,455.00 | $12,152.00 |