| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $477.41 | $477.41 | $8,500.00 | |
Medica
| Facility | $477.41 | $677.00 | $1,432.23 | |
United
| Facility | $2,545.00 | $2,545.00 | $2,545.00 |
Severing Ads Ant Seg Incal Tq Spx Goniosynechiae
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $477.41 | $477.41 | $8,500.00 | |
Medica
| Facility | $477.41 | $677.00 | $1,432.23 | |
United
| Facility | $2,545.00 | $2,545.00 | $2,545.00 |