| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,136.80 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,059.42 | $5,181.93 | $7,254.72 | |
Providence
| Facility | $1,059.42 | $5,181.93 | $7,254.72 |
Rpr Dural/Csf Leak/Pseudomeningocele W/Lam
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,136.80 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,059.42 | $5,181.93 | $7,254.72 | |
Providence
| Facility | $1,059.42 | $5,181.93 | $7,254.72 |