| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $897.30 | $11,051.42 | $11,051.42 | |
Medica
| Facility | $897.30 | $1,173.38 | $1,567.31 |
Rpr Dural/Cerebrospinal Fluid Leak X Req Lam
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $897.30 | $11,051.42 | $11,051.42 | |
Medica
| Facility | $897.30 | $1,173.38 | $1,567.31 |