| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,495.16 | $9,888.94 | $14,552.94 | |
Moda Health
| Facility | $1,478.26 | $6,713.19 | $9,599.86 | |
Providence
| Facility | $1,478.26 | $6,713.19 | $9,599.86 |
Expl Po Hemrrg Thrombosis/Infctj Abd
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,495.16 | $9,888.94 | $14,552.94 | |
Moda Health
| Facility | $1,478.26 | $6,713.19 | $9,599.86 | |
Providence
| Facility | $1,478.26 | $6,713.19 | $9,599.86 |