| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,000.00 | $12,000.00 | $12,000.00 |
Trauma Response-Other Trauma Response
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,000.00 | $12,000.00 | $12,000.00 |