| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,732.55 | $1,732.55 | $8,500.00 | |
Medica
| Facility | $1,732.55 | $2,342.81 | $5,197.64 |
Evasc Rpr Dta Coverage Art Origin 1st Endoprosth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,732.55 | $1,732.55 | $8,500.00 | |
Medica
| Facility | $1,732.55 | $2,342.81 | $5,197.64 |