| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,665.80 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,973.28 | $8,961.62 | $12,815.13 | |
Providence
| Facility | $1,973.28 | $8,961.62 | $12,815.13 |
Repair blood vessel with graft other than vein; intra-abdominal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,665.80 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,973.28 | $8,961.62 | $12,815.13 | |
Providence
| Facility | $1,973.28 | $8,961.62 | $12,815.13 |