| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $962.12 | $1,896.30 | $16,467.00 | |
Medcost
| Facility | $709.85 | $988.00 | $1,655.72 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |
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 | $962.12 | $1,896.30 | $16,467.00 | |
Medcost
| Facility | $709.85 | $988.00 | $1,655.72 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |