| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,352.11 | $13,413.92 | $20,143.00 | |
Moda Health
| Facility | $784.80 | $3,989.24 | $5,584.94 | |
Providence
| Facility | $784.80 | $3,989.24 | $5,584.94 |
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,352.11 | $13,413.92 | $20,143.00 | |
Moda Health
| Facility | $784.80 | $3,989.24 | $5,584.94 | |
Providence
| Facility | $784.80 | $3,989.24 | $5,584.94 |