| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,454.71 | $2,454.71 | $2,454.71 | |
ConnectiCare
| Professional | $1,819.70 | $2,137.96 | $2,137.96 |
Restorigin, 1 cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,454.71 | $2,454.71 | $2,454.71 | |
ConnectiCare
| Professional | $1,819.70 | $2,137.96 | $2,137.96 |