| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,716.38 | $2,716.38 | $8,500.00 | |
Medica
| Facility | $2,716.38 | $3,787.92 | $4,545.50 | |
United
| Facility | $1,670.17 | $1,670.17 | $1,670.17 |
Free Ostq Flap W/Mvasc Anast Metar/Great Toe
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,716.38 | $2,716.38 | $8,500.00 | |
Medica
| Facility | $2,716.38 | $3,787.92 | $4,545.50 | |
United
| Facility | $1,670.17 | $1,670.17 | $1,670.17 |