| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,857.00 | $6,904.00 | $8,088.00 | |
Medical Mutual of Ohio
| Professional | $2,328.94 | $2,372.54 | $2,372.54 |
Evasc Rpr Aaa W/Mdlr Bfrc Prosth 2 Limbs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,857.00 | $6,904.00 | $8,088.00 | |
Medical Mutual of Ohio
| Professional | $2,328.94 | $2,372.54 | $2,372.54 |