| 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 | $166.65 | $333.90 | $501.88 | |
United
| Facility | $675.00 | $3,700.00 | $26,104.00 |
Vcrpec Transprtl/Rpr Dcmprn Thrc Lmbr/Sac Ea Seg
| 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 | $166.65 | $333.90 | $501.88 | |
United
| Facility | $675.00 | $3,700.00 | $26,104.00 |