| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,978.28 | $7,655.00 | $13,151.00 | |
Medica
| Facility | $55.00 | $1,826.31 | $4,552.00 | |
United
| Facility | $783.00 | $1,743.00 | $8,198.00 |
Teaec W/Graft Tibial/Peroneal Art 1st Vessel
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,978.28 | $7,655.00 | $13,151.00 | |
Medica
| Facility | $55.00 | $1,826.31 | $4,552.00 | |
United
| Facility | $783.00 | $1,743.00 | $8,198.00 |