| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,890.14 | $10,900.00 | $29,365.70 | |
Moda Health
| Facility | $1,214.19 | $4,774.46 | $6,827.48 | |
Providence
| Facility | $1,214.19 | $4,774.46 | $6,827.48 |
Creation of shunt; ventriculo-peritoneal, -pleural, other terminus
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,890.14 | $10,900.00 | $29,365.70 | |
Moda Health
| Facility | $1,214.19 | $4,774.46 | $6,827.48 | |
Providence
| Facility | $1,214.19 | $4,774.46 | $6,827.48 |