| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,229.10 | $1,229.10 | $8,500.00 | |
Medica
| Facility | $1,229.10 | $1,670.19 | $3,687.33 |
Teaec W/Graft Tibioperoneal Trunk Artery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,229.10 | $1,229.10 | $8,500.00 | |
Medica
| Facility | $1,229.10 | $1,670.19 | $3,687.33 |