| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,630.61 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $892.14 | $4,345.74 | $6,084.04 | |
Providence
| Facility | $899.76 | $4,345.74 | $6,084.04 |
Repair of dural/cerebrospinal fluid leak, not requiring laminectomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,630.61 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $892.14 | $4,345.74 | $6,084.04 | |
Providence
| Facility | $899.76 | $4,345.74 | $6,084.04 |