| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,609.09 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $672.75 | $3,090.58 | $4,419.53 | |
Providence
| Facility | $672.75 | $3,090.58 | $4,419.53 |
Excision of infected graft; extremity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,609.09 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $672.75 | $3,090.58 | $4,419.53 | |
Providence
| Facility | $672.75 | $3,090.58 | $4,419.53 |