| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $969.50 | $969.50 | $8,500.00 | |
Medica
| Facility | $969.50 | $1,331.28 | $2,908.50 |
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, axillary-brachial artery, by arm incision
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $969.50 | $969.50 | $8,500.00 | |
Medica
| Facility | $969.50 | $1,331.28 | $2,908.50 |