| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $9,859.00 | |
Harvard Pilgrim
| Professional | $65.51 | $121.12 | $160.61 |
Noncovered procedure(s) using either no anesthesia or local anesthesia only, in a Medicare qualifying clinical trial, per day
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $9,859.00 | |
Harvard Pilgrim
| Professional | $65.51 | $121.12 | $160.61 |