| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $852.24 | $1,342.00 | $3,109.00 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |
Rmvl I-Aort Balo Asst Dev W/Rpr Fem Art W/Wo Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $852.24 | $1,342.00 | $3,109.00 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |