| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,684.00 | $18,600.00 | |
Medica
| Facility | $498.00 | $1,113.71 | $5,991.35 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 |
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 | $1,000.00 | $3,684.00 | $18,600.00 | |
Medica
| Facility | $498.00 | $1,113.71 | $5,991.35 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 |