| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $651.74 | $651.74 | $8,500.00 | |
Medica
| Facility | $651.74 | $793.55 | $1,177.72 |
Replacement, irrigation or revision of lumbosubarachnoid shunt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $651.74 | $651.74 | $8,500.00 | |
Medica
| Facility | $651.74 | $793.55 | $1,177.72 |