| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.00 | $1,100.00 | $2,250.00 | |
BCBS
| Facility | $7,898.10 | $9,584.71 | $12,894.52 | |
United
| Facility | $1,404.00 | $5,292.00 | $13,478.00 |
Revj Incl Rplcmt Nstim Eltrd Prq Ra Incl Fluor
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.00 | $1,100.00 | $2,250.00 | |
BCBS
| Facility | $7,898.10 | $9,584.71 | $12,894.52 | |
United
| Facility | $1,404.00 | $5,292.00 | $13,478.00 |