| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $649.63 | $6,541.00 | $13,413.92 | |
Moda Health
| Facility | $273.35 | $1,073.16 | $1,534.62 | |
Providence
| Facility | $273.35 | $1,073.16 | $1,534.62 |
Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $649.63 | $6,541.00 | $13,413.92 | |
Moda Health
| Facility | $273.35 | $1,073.16 | $1,534.62 | |
Providence
| Facility | $273.35 | $1,073.16 | $1,534.62 |