| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $905.11 | $905.11 | $9,500.00 | |
Medica
| Facility | $905.11 | $1,223.52 | $2,715.33 |
Rpr Blvsl W/Grf Other/Than Vein Lower Extremity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $905.11 | $905.11 | $9,500.00 | |
Medica
| Facility | $905.11 | $1,223.52 | $2,715.33 |