| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.23 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $275.14 | $1,373.16 | $1,922.42 | |
Providence
| Facility | $275.14 | $1,373.16 | $1,922.42 |
Vcrpec Lat Xtrcavitary Dcmprn Thrc/Lmbr Ea Seg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.23 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $275.14 | $1,373.16 | $1,922.42 | |
Providence
| Facility | $275.14 | $1,373.16 | $1,922.42 |