| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,226.04 | |
Providence
| Facility | $924.15 | $1,176.20 | $1,350.38 | |
United
| Facility | $9,028.00 | $15,131.00 | $21,396.00 |
Repair blood vessel with graft other than vein; upper extremity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,226.04 | |
Providence
| Facility | $924.15 | $1,176.20 | $1,350.38 | |
United
| Facility | $9,028.00 | $15,131.00 | $21,396.00 |