| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,203.71 | $1,203.71 | $9,500.00 | |
Medica
| Facility | $1,203.71 | $1,473.80 | $3,611.13 |
Evasc Rpr Dplmnt Aorto-Aortic Ndgft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,203.71 | $1,203.71 | $9,500.00 | |
Medica
| Facility | $1,203.71 | $1,473.80 | $3,611.13 |