| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,495.00 | $3,569.00 | $10,439.00 | |
Medica
| Facility | $55.00 | $763.06 | $4,857.00 | |
United
| Facility | $783.00 | $1,743.00 | $8,198.00 |
Dlyd Placement Xtn Prosth For Evasc Rpr Ea Addl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,495.00 | $3,569.00 | $10,439.00 | |
Medica
| Facility | $55.00 | $763.06 | $4,857.00 | |
United
| Facility | $783.00 | $1,743.00 | $8,198.00 |