| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $900.00 | $2,562.00 | $4,050.00 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $385.00 | $1,309.00 | $7,168.00 |
Plmt Prox Xtn Prosth Evasc Rpr Dta 1st Xtn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $900.00 | $2,562.00 | $4,050.00 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $385.00 | $1,309.00 | $7,168.00 |