| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $740.29 | $740.29 | $8,500.00 | |
Medica
| Facility | $740.29 | $1,002.48 | $2,220.87 |
Rpr/Traumatic Av Fistula Extremities
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $740.29 | $740.29 | $8,500.00 | |
Medica
| Facility | $740.29 | $1,002.48 | $2,220.87 |