| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $1,365.10 | $1,958.71 | $2,884.77 |
Musc Myocutaneous/Fasciocutaneous Flap Head&Nc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $1,365.10 | $1,958.71 | $2,884.77 |