| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $335.48 | $6,541.00 | $13,413.92 | |
Moda Health
| Facility | $107.00 | $481.46 | $796.60 | |
Providence
| Facility | $107.00 | $483.65 | $796.60 |
Removal Tongs/Halo Applied By Another Individual
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $335.48 | $6,541.00 | $13,413.92 | |
Moda Health
| Facility | $107.00 | $481.46 | $796.60 | |
Providence
| Facility | $107.00 | $483.65 | $796.60 |