| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $906.14 | $906.14 | $8,500.00 | |
Medica
| Facility | $906.14 | $1,177.98 | $1,980.00 | |
United
| Facility | $1,980.00 | $1,980.00 | $1,980.00 |
Expl Retroperitoneum W/Wo Bx Spx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $906.14 | $906.14 | $8,500.00 | |
Medica
| Facility | $906.14 | $1,177.98 | $1,980.00 | |
United
| Facility | $1,980.00 | $1,980.00 | $1,980.00 |