| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,349.09 | $1,349.09 | $8,500.00 | |
Medica
| Facility | $1,349.09 | $1,863.32 | $4,047.27 |
Rpr Blood Vessel Direct Intrathoracic W/Bypass
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,349.09 | $1,349.09 | $8,500.00 | |
Medica
| Facility | $1,349.09 | $1,863.32 | $4,047.27 |