| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,289.61 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $962.47 | $4,397.66 | $6,288.65 | |
Providence
| Facility | $962.47 | $4,397.66 | $6,288.65 |
Dlyd Placement Xtn Prosth For Evasc Rpr 1st Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,289.61 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $962.47 | $4,397.66 | $6,288.65 | |
Providence
| Facility | $962.47 | $4,397.66 | $6,288.65 |