| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $756.00 | $2,418.00 | $4,392.00 | |
United
| Facility | $385.00 | $1,309.00 | $7,168.00 |
Dlyd Placement Xtn Prosth For Evasc Rpr 1st Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $756.00 | $2,418.00 | $4,392.00 | |
United
| Facility | $385.00 | $1,309.00 | $7,168.00 |