| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,814.33 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $2,021.74 | $9,246.89 | $13,223.05 | |
Providence
| Facility | $2,021.74 | $9,246.89 | $13,223.05 |
In-Situ Fem-Ant Tibl Pst Tibl/Proneal Art
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,814.33 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $2,021.74 | $9,246.89 | $13,223.05 | |
Providence
| Facility | $2,021.74 | $9,246.89 | $13,223.05 |