| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,626.00 | $9,059.00 | $12,933.00 | |
Horizon BCBS
| Facility | $25,244.46 | $25,244.46 | $67,834.27 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |
Impl Oi Implt Skull Mag Tc Attachment Esp<100
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,626.00 | $9,059.00 | $12,933.00 | |
Horizon BCBS
| Facility | $25,244.46 | $25,244.46 | $67,834.27 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |