| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $14,552.94 | |
Moda Health
| Facility | $645.80 | $3,221.73 | $4,510.42 | |
Providence
| Facility | $645.80 | $3,221.73 | $4,510.42 |
Capsulectomy/Capsulotomy Iphal Joint Each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $14,552.94 | |
Moda Health
| Facility | $645.80 | $3,221.73 | $4,510.42 | |
Providence
| Facility | $645.80 | $3,221.73 | $4,510.42 |