| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $835.75 | $835.75 | $8,500.00 | |
Medica
| Facility | $835.75 | $1,165.98 | $2,507.25 |
Repair Laceration Diaphragm Any Approach
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $835.75 | $835.75 | $8,500.00 | |
Medica
| Facility | $835.75 | $1,165.98 | $2,507.25 |