| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,905.02 | $6,907.00 | $9,185.11 | |
United
| Facility | $5,170.00 | $5,170.00 | $5,170.00 |
Lam Bx/Exc Ispi Neo Idrl Xmed Lumbar
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,905.02 | $6,907.00 | $9,185.11 | |
United
| Facility | $5,170.00 | $5,170.00 | $5,170.00 |