| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,118.14 | $13,413.92 | $20,559.50 | |
Moda Health
| Facility | $1,048.91 | $5,700.58 | $7,980.81 | |
Providence
| Facility | $1,048.91 | $5,700.58 | $7,980.81 |
Exc Prtd Tum/Prtd Glnd Lat Dsj&Prsrv Facial Nr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,118.14 | $13,413.92 | $20,559.50 | |
Moda Health
| Facility | $1,048.91 | $5,700.58 | $7,980.81 | |
Providence
| Facility | $1,048.91 | $5,700.58 | $7,980.81 |