| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,015.66 | $2,015.66 | $8,500.00 | |
Medica
| Facility | $2,015.66 | $2,146.67 | $6,046.98 |
Rpr Blood Vessel Direct Intrathoracic W/O Bypass
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,015.66 | $2,015.66 | $8,500.00 | |
Medica
| Facility | $2,015.66 | $2,146.67 | $6,046.98 |