| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $55.00 | $5,682.77 | $5,986.86 | |
Lucent Health
| 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 |
|---|---|---|---|---|---|
Lucent Health
| Facility | $55.00 | $5,682.77 | $5,986.86 | |
Lucent Health
| Professional | $15,682.00 | $15,682.00 | $15,682.00 |