| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $1,561.81 | $2,549.09 | $4,184.80 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |
Exc Prtd Tum/Prtd Glnd Tot W/Uni Rad Nck Dsj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $1,561.81 | $2,549.09 | $4,184.80 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |