| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,872.00 | $8,303.41 | $13,413.92 | |
Moda Health
| Facility | $567.48 | $2,933.68 | $4,107.14 | |
Providence
| Facility | $567.48 | $2,933.68 | $4,107.14 |
Incision Leg/Ankle
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,872.00 | $8,303.41 | $13,413.92 | |
Moda Health
| Facility | $567.48 | $2,933.68 | $4,107.14 | |
Providence
| Facility | $567.48 | $2,933.68 | $4,107.14 |