| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,588.44 | $3,121.78 | $4,500.00 | |
Moda Health
| Facility | $1,060.86 | $1,992.06 | $3,148.02 | |
United
| Facility | $675.00 | $3,700.00 | $26,104.00 |
Rpr Dural/Csf Leak/Pseudomeningocele W/Lam
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,588.44 | $3,121.78 | $4,500.00 | |
Moda Health
| Facility | $1,060.86 | $1,992.06 | $3,148.02 | |
United
| Facility | $675.00 | $3,700.00 | $26,104.00 |