| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $731.90 | $731.90 | $1,400.00 | |
CareSource
| Facility | $741.10 | $843.67 | $919.19 | |
Cigna
| Facility | $796.49 | $796.49 | $796.49 |
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 | $731.90 | $731.90 | $1,400.00 | |
CareSource
| Facility | $741.10 | $843.67 | $919.19 | |
Cigna
| Facility | $796.49 | $796.49 | $796.49 |