| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,762.19 | $7,838.38 | |
Providence
| Facility | $2,581.55 | $3,583.72 | $4,250.00 | |
United
| Facility | $899.00 | $8,842.00 | $16,897.00 |
Free Ostq Flap W/Mvasc Anast Metar/Great Toe
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,762.19 | $7,838.38 | |
Providence
| Facility | $2,581.55 | $3,583.72 | $4,250.00 | |
United
| Facility | $899.00 | $8,842.00 | $16,897.00 |