| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $1,749.77 | $9,859.00 | |
Anthem BCBS
| Facility | $8,512.20 | $16,990.29 | $28,054.57 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |
Dlyd Placement Xtn Prosth For Evasc Rpr Ea Addl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $1,749.77 | $9,859.00 | |
Anthem BCBS
| Facility | $8,512.20 | $16,990.29 | $28,054.57 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |