| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,672.61 | $10,900.00 | $17,695.00 | |
Moda Health
| Facility | $1,119.26 | $5,133.27 | $7,340.58 | |
Providence
| Facility | $1,119.26 | $5,133.27 | $7,340.58 |
Rpr Blvsl W/Grf Other/Than Vein Lower Extremity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,672.61 | $10,900.00 | $17,695.00 | |
Moda Health
| Facility | $1,119.26 | $5,133.27 | $7,340.58 | |
Providence
| Facility | $1,119.26 | $5,133.27 | $7,340.58 |