| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,396.59 | $9,285.00 | $14,552.94 | |
Moda Health
| Facility | $326.89 | $1,728.86 | $2,420.40 | |
Providence
| Facility | $326.89 | $1,728.86 | $2,420.40 |
Laps Abd Prtm&Omentum Dx W/Wo Spec Br/Wa Spx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,396.59 | $9,285.00 | $14,552.94 | |
Moda Health
| Facility | $326.89 | $1,728.86 | $2,420.40 | |
Providence
| Facility | $326.89 | $1,728.86 | $2,420.40 |