| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,773.20 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,973.63 | $9,537.20 | $13,352.09 | |
Providence
| Facility | $1,973.63 | $9,537.20 | $13,352.09 |
Lam Exc Ispi Les Oth/Thn Neo Idrl Thoracic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,773.20 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,973.63 | $9,537.20 | $13,352.09 | |
Providence
| Facility | $1,973.63 | $9,537.20 | $13,352.09 |