| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.52 | $760.52 | $8,500.00 | |
Medica
| Facility | $760.52 | $1,073.19 | $2,281.56 |
Repair Blood Vessel Direct Upper Extremity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.52 | $760.52 | $8,500.00 | |
Medica
| Facility | $760.52 | $1,073.19 | $2,281.56 |