| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $535.83 | $535.83 | $15,509.60 | |
Moda Health
| Facility | $184.95 | $269.04 | $517.82 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |
Laps Esophageal Lengthening Addl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $535.83 | $535.83 | $15,509.60 | |
Moda Health
| Facility | $184.95 | $269.04 | $517.82 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |