| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $5,519.00 | $10,888.50 | |
Moda Health
| Facility | $1,525.26 | $2,526.09 | $4,047.27 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |
Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $5,519.00 | $10,888.50 | |
Moda Health
| Facility | $1,525.26 | $2,526.09 | $4,047.27 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |