| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,955.04 | $7,364.91 | |
United
| Facility | $4,596.00 | $7,457.00 | $12,945.00 |
Impl Oi Implt Skull Mag Tc Attachment Esp<100
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,955.04 | $7,364.91 | |
United
| Facility | $4,596.00 | $7,457.00 | $12,945.00 |