| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,575.81 | $1,575.81 | $8,500.00 | |
Medica
| Facility | $1,575.81 | $2,161.67 | $4,727.43 |
Rpr Blvsl W/Grft Other/Than Vein Intra-Abdominal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,575.81 | $1,575.81 | $8,500.00 | |
Medica
| Facility | $1,575.81 | $2,161.67 | $4,727.43 |