| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,545.01 | $10,175.36 | $13,413.92 | |
Moda Health
| Facility | $3,520.22 | $4,928.31 | $6,011.63 | |
Providence
| Facility | $3,520.22 | $4,928.31 | $6,011.63 |
Formation of direct or tubed pedicle, with or without transfer; trunk
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,545.01 | $10,175.36 | $13,413.92 | |
Moda Health
| Facility | $3,520.22 | $4,928.31 | $6,011.63 | |
Providence
| Facility | $3,520.22 | $4,928.31 | $6,011.63 |