| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,917.53 | $6,917.53 | $7,131.28 | |
Martin's Point
| Facility | $6,917.53 | $6,917.53 | $7,131.28 |
Impl Oi Implt Skull Perq Attachment Esp
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,917.53 | $6,917.53 | $7,131.28 | |
Martin's Point
| Facility | $6,917.53 | $6,917.53 | $7,131.28 |