| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,626.00 | $8,084.00 | $13,959.00 | |
United
| Facility | $1,846.00 | $7,273.00 | $10,536.00 |
Evasc Rpr Dplmnt Ilio-Iliac Ndgft Rpt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,626.00 | $8,084.00 | $13,959.00 | |
United
| Facility | $1,846.00 | $7,273.00 | $10,536.00 |