| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,480.00 | $2,480.00 | $2,480.00 | |
BCBS
| Facility | $2,365.50 | $2,365.50 | $3,548.25 | |
BCBS
| Professional | $2,365.50 | $2,365.50 | $2,412.81 |
Restorigin, 1 cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,480.00 | $2,480.00 | $2,480.00 | |
BCBS
| Facility | $2,365.50 | $2,365.50 | $3,548.25 | |
BCBS
| Professional | $2,365.50 | $2,365.50 | $2,412.81 |