| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $6,966.00 | $8,499.00 | |
Kaiser Permanente
| Professional | $881.13 | $961.24 | $1,121.44 | |
United
| Facility | $3,028.00 | $3,028.00 | $3,028.00 |
Repair blood vessel with graft other than vein; upper extremity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $6,966.00 | $8,499.00 | |
Kaiser Permanente
| Professional | $881.13 | $961.24 | $1,121.44 | |
United
| Facility | $3,028.00 | $3,028.00 | $3,028.00 |