| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,897.00 | $4,500.00 | $7,761.00 | |
Moda Health
| Facility | $1,940.17 | $3,255.33 | $5,253.17 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |
Laps Clsr Ntrstm Lg/Sm Int W/Rescj & Anastomosis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,897.00 | $4,500.00 | $7,761.00 | |
Moda Health
| Facility | $1,940.17 | $3,255.33 | $5,253.17 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |