| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,674.11 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $919.67 | $4,888.80 | $6,844.32 | |
Providence
| Facility | $919.67 | $4,888.80 | $6,844.32 |
Expl Retroperitoneum W/Wo Bx Spx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,674.11 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $919.67 | $4,888.80 | $6,844.32 | |
Providence
| Facility | $919.67 | $4,888.80 | $6,844.32 |