| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,464.00 | $6,782.00 | $13,413.92 | |
Moda Health
| Facility | $340.96 | $1,749.57 | $2,449.40 | |
Providence
| Facility | $340.96 | $1,749.57 | $2,449.40 |
Osteot Spi Pst/Pstlat Appr 1 Vrt Sgm Ea Vrt Sgm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,464.00 | $6,782.00 | $13,413.92 | |
Moda Health
| Facility | $340.96 | $1,749.57 | $2,449.40 | |
Providence
| Facility | $340.96 | $1,749.57 | $2,449.40 |