| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $2,630.27 | $8,912.51 | |
Medica
| Facility | $977.24 | $5,248.07 | $13,489.63 | |
United
| Facility | $1,949.84 | $7,762.47 | $14,125.38 |
Repair blood vessel with graft other than vein; upper extremity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $2,630.27 | $8,912.51 | |
Medica
| Facility | $977.24 | $5,248.07 | $13,489.63 | |
United
| Facility | $1,949.84 | $7,762.47 | $14,125.38 |