| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,224.30 | $4,387.00 | $8,344.00 | |
United
| Facility | $2,312.00 | $2,446.00 | $13,847.00 |
Dlyd Placement Xtn Prosth For Evasc Rpr 1st Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,224.30 | $4,387.00 | $8,344.00 | |
United
| Facility | $2,312.00 | $2,446.00 | $13,847.00 |