| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,425.19 | $1,425.19 | $8,500.00 | |
Medica
| Facility | $1,425.19 | $2,001.08 | $4,275.57 |
Thorcom Ctrl Traumtc Hemrrg&/Rpr Lng Tear
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,425.19 | $1,425.19 | $8,500.00 | |
Medica
| Facility | $1,425.19 | $2,001.08 | $4,275.57 |