| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,805.00 | $6,899.00 | |
Moda Health
| Facility | $1,541.30 | $2,363.26 | $3,479.04 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |
Prostect Retropub Rad W/Wo Nrv Spar & Bi Plv Lym
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,805.00 | $6,899.00 | |
Moda Health
| Facility | $1,541.30 | $2,363.26 | $3,479.04 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |