| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $1,949.84 | $2,398.83 | $2,511.89 | |
United
| Professional | $1,047.13 | $1,047.13 | $1,047.13 |
Obliteration of aortopulmonary septal defect; without cardiopulmonary bypass
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $1,949.84 | $2,398.83 | $2,511.89 | |
United
| Professional | $1,047.13 | $1,047.13 | $1,047.13 |