| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $990.14 | $990.14 | $8,500.00 | |
Medica
| Facility | $990.14 | $1,156.19 | $2,970.42 |
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $990.14 | $990.14 | $8,500.00 | |
Medica
| Facility | $990.14 | $1,156.19 | $2,970.42 |