| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,623.37 | $5,623.37 | $5,623.37 | |
Martin's Point
| Facility | $5,623.37 | $5,623.37 | $5,623.37 |
Repair Blood Vessel Direct Upper Extremity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,623.37 | $5,623.37 | $5,623.37 | |
Martin's Point
| Facility | $5,623.37 | $5,623.37 | $5,623.37 |