| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,000.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $233.13 | $390.55 | $939.08 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |
Perq Prcrd Drg 6yr+ W/O Congenital Car Anomaly
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,000.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $233.13 | $390.55 | $939.08 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |