| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $2,206.58 | $3,419.88 | |
Medica
| Professional | $15,682.00 | $15,682.00 | $15,682.00 |
Insj Graft Aorta/Great Vessel W/Shun
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $2,206.58 | $3,419.88 | |
Medica
| Professional | $15,682.00 | $15,682.00 | $15,682.00 |