| 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 |
Repair blood vessel with graft 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 |