| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $634.33 | $634.33 | $8,500.00 | |
Medica
| Facility | $634.33 | $773.23 | $1,902.99 | |
United
| Facility | $2,545.00 | $2,545.00 | $2,545.00 |
Severing Ads Ant Seg Incal Spx Post Synechiae
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $634.33 | $634.33 | $8,500.00 | |
Medica
| Facility | $634.33 | $773.23 | $1,902.99 | |
United
| Facility | $2,545.00 | $2,545.00 | $2,545.00 |