| 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 | $1,779.45 | $3,333.74 | $5,022.14 | |
United
| Facility | $4,800.00 | $12,000.00 | $65,746.00 |
Lam Exc Ispi Les Oth/Thn Neo Idrl Lumbar
| 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 | $1,779.45 | $3,333.74 | $5,022.14 | |
United
| Facility | $4,800.00 | $12,000.00 | $65,746.00 |