| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,663.40 | $1,663.40 | $1,663.40 |
Loa - Reserved
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,663.40 | $1,663.40 | $1,663.40 |
Want provider-level rates data? We offer custom data extracts for a reasonable fee. To learn more, please email us.