| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,696.40 | $2,696.40 | $3,100.37 | |
BCBS
| Facility | $3,762.52 | $5,946.89 | $9,468.90 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |
Unspecified Adjunctive Procedure By Report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,696.40 | $2,696.40 | $3,100.37 | |
BCBS
| Facility | $3,762.52 | $5,946.89 | $9,468.90 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |