| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,259.76 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $964.36 | $4,340.33 | $6,206.67 | |
Providence
| Facility | $964.36 | $4,340.33 | $6,206.67 |
Repair Blood Vessel Direct Upper Extremity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,259.76 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $964.36 | $4,340.33 | $6,206.67 | |
Providence
| Facility | $964.36 | $4,340.33 | $6,206.67 |