| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,792.48 | $1,792.48 | $10,500.00 | |
Medica
| Facility | $1,792.48 | $2,213.42 | $5,377.44 |
Evasc Rpr Dplmnt Ilio-Iliac Ndgft Rpt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,792.48 | $1,792.48 | $10,500.00 | |
Medica
| Facility | $1,792.48 | $2,213.42 | $5,377.44 |