| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $2,944.07 | $4,221.64 | $6,035.77 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |
Rescj/Exc Les Base Ant Crnl Fossa Indrl W/Wo Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $2,944.07 | $4,221.64 | $6,035.77 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |