| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $778.22 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $665.09 | $851.89 | $1,072.31 | |
United
| Facility | $3,085.00 | $4,262.00 | $17,636.00 |
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 | $778.22 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $665.09 | $851.89 | $1,072.31 | |
United
| Facility | $3,085.00 | $4,262.00 | $17,636.00 |