| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,024.66 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $851.46 | $3,888.77 | $5,560.94 | |
Providence
| Facility | $851.46 | $3,888.77 | $5,560.94 |
Rmvl I-Aort Balo Asst Dev W/Rpr Fem Art W/Wo Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,024.66 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $851.46 | $3,888.77 | $5,560.94 | |
Providence
| Facility | $851.46 | $3,888.77 | $5,560.94 |