| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,993.72 | $3,706.14 | $3,955.04 | |
United
| Facility | $1,649.00 | $4,915.00 | $7,205.00 |
Dlyd Placement Xtn Prosth For Evasc Rpr 1st Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,993.72 | $3,706.14 | $3,955.04 | |
United
| Facility | $1,649.00 | $4,915.00 | $7,205.00 |