| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,454.71 | $2,454.71 | $2,454.71 | |
BCBS
| Facility | $0.02 | $0.02 | $17,782.79 |
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 | |
BCBS
| Facility | $0.02 | $0.02 | $17,782.79 |