| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,872.00 | $7,340.00 | $13,413.92 | |
Moda Health
| Facility | $70.28 | $793.01 | $957.19 | |
Providence
| Facility | $70.28 | $793.01 | $957.19 |
Photopheresis, extracorporeal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,872.00 | $7,340.00 | $13,413.92 | |
Moda Health
| Facility | $70.28 | $793.01 | $957.19 | |
Providence
| Facility | $70.28 | $793.01 | $957.19 |