| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,705.82 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,279.10 | $6,774.96 | $9,484.94 | |
Providence
| Facility | $1,279.10 | $6,774.96 | $9,484.94 |
Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,705.82 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,279.10 | $6,774.96 | $9,484.94 | |
Providence
| Facility | $1,279.10 | $6,774.96 | $9,484.94 |