| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $4,318.63 | $9,859.00 | |
Anthem BCBS
| Facility | $8,992.79 | $9,992.00 | $19,050.00 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |
Plmt Prox Xtn Prosth Evasc Rpr Dta 1st Xtn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $4,318.63 | $9,859.00 | |
Anthem BCBS
| Facility | $8,992.79 | $9,992.00 | $19,050.00 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |