| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,576.00 | $7,500.00 | |
Medica
| Facility | $325.39 | $1,160.00 | $5,882.00 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 |
Dlyd Placement Xtn Prosth For Evasc Rpr Ea Addl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,576.00 | $7,500.00 | |
Medica
| Facility | $325.39 | $1,160.00 | $5,882.00 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 |