| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,934.73 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $1,357.07 | $6,500.11 | $9,100.15 | |
Providence
| Facility | $1,395.18 | $6,500.11 | $9,100.15 |
Lam Exc/Evac Ispi Les Oth/Thn Neo Xdrl Sacral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,934.73 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $1,357.07 | $6,500.11 | $9,100.15 | |
Providence
| Facility | $1,395.18 | $6,500.11 | $9,100.15 |