| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,285.00 | $10,900.00 | $14,552.94 | |
Aetna
| Professional | $13,413.92 | $13,413.92 | $14,552.94 | |
Providence
| Professional | $194.00 | $194.00 | $194.00 |
Unlisted procedure, posterior segment
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,285.00 | $10,900.00 | $14,552.94 | |
Aetna
| Professional | $13,413.92 | $13,413.92 | $14,552.94 | |
Providence
| Professional | $194.00 | $194.00 | $194.00 |