| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,732.11 | $2,569.06 | $3,622.44 | |
Medica
| Facility | $1,984.27 | $1,984.27 | $1,984.27 |
Evasc Rpr Aaa W/Mdlr Bfrc Prosth 2 Limbs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,732.11 | $2,569.06 | $3,622.44 | |
Medica
| Facility | $1,984.27 | $1,984.27 | $1,984.27 |