| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,100.70 | $7,340.00 | $13,413.92 | |
Moda Health
| Facility | $365.17 | $1,818.32 | $2,545.65 | |
Providence
| Facility | $365.17 | $1,818.32 | $2,545.65 |
Impltj/Rplcmt Ithcl/Edrl Drug Nfs Prgrbl Pump
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,100.70 | $7,340.00 | $13,413.92 | |
Moda Health
| Facility | $365.17 | $1,818.32 | $2,545.65 | |
Providence
| Facility | $365.17 | $1,818.32 | $2,545.65 |