| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $13,413.92 | $20,143.00 | |
Moda Health
| Facility | $710.87 | $3,261.35 | $4,663.72 | |
Providence
| Facility | $710.87 | $3,261.35 | $4,663.72 |
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $13,413.92 | $20,143.00 | |
Moda Health
| Facility | $710.87 | $3,261.35 | $4,663.72 | |
Providence
| Facility | $710.87 | $3,261.35 | $4,663.72 |