| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,522.00 | $7,629.00 | $10,492.00 | |
Anthem BCBS
| Facility | $12,098.00 | $17,206.00 | $21,453.35 | |
United
| Facility | $3,275.00 | $5,345.00 | $14,963.00 |
Dlyd Placement Xtn Prosth For Evasc Rpr 1st Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,522.00 | $7,629.00 | $10,492.00 | |
Anthem BCBS
| Facility | $12,098.00 | $17,206.00 | $21,453.35 | |
United
| Facility | $3,275.00 | $5,345.00 | $14,963.00 |