| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.73 | $838.73 | $9,500.00 | |
Medica
| Facility | $838.73 | $1,150.60 | $2,516.19 | |
United
| Facility | $10,487.80 | $10,487.80 | $10,487.80 |
Repair blood vessel with graft other than vein; upper extremity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.73 | $838.73 | $9,500.00 | |
Medica
| Facility | $838.73 | $1,150.60 | $2,516.19 | |
United
| Facility | $10,487.80 | $10,487.80 | $10,487.80 |