| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.94 | $281.52 | $8,144.57 | |
Martin's Point
| Facility | $0.94 | $1,378.52 | $8,144.57 | |
United
| Facility | $6,878.02 | $6,878.02 | $6,878.02 |
Rev/Rmv Prph Sac/Gstrc Npg/Rcv Dtch Conn Eltr Ra
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.94 | $281.52 | $8,144.57 | |
Martin's Point
| Facility | $0.94 | $1,378.52 | $8,144.57 | |
United
| Facility | $6,878.02 | $6,878.02 | $6,878.02 |