| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.36 | $193.36 | $8,500.00 | |
Medica
| Facility | $193.36 | $244.30 | $580.08 |
Removal Perq Left Hrt Vad Artl/Artl&Ven Sep Insj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.36 | $193.36 | $8,500.00 | |
Medica
| Facility | $193.36 | $244.30 | $580.08 |