| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $5,437.58 | $12,112.20 | |
Moda Health
| Facility | $1,868.55 | $3,494.94 | $5,254.81 | |
United
| Facility | $4,800.00 | $12,000.00 | $65,746.00 |
Lam Bx/Exc Ispi Neo Idrl Xmed Lumbar
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $5,437.58 | $12,112.20 | |
Moda Health
| Facility | $1,868.55 | $3,494.94 | $5,254.81 | |
United
| Facility | $4,800.00 | $12,000.00 | $65,746.00 |