| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.16 | $92.16 | $11,000.00 | |
Medica
| Facility | $92.16 | $126.02 | $276.48 |
Plmt Expandable Cath Brst Concurrent Prtl Mast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.16 | $92.16 | $11,000.00 | |
Medica
| Facility | $92.16 | $126.02 | $276.48 |