| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $1,635.77 | $2,011.00 | $2,389.90 |
Obltrj Aortopulmonary Septal Defect W/O Bypass
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $1,635.77 | $2,011.00 | $2,389.90 |