| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,289.20 | $1,289.20 | $1,400.00 | |
CareSource
| Facility | $1,282.18 | $1,478.45 | $1,610.79 | |
Cigna
| Facility | $1,383.10 | $1,383.10 | $1,383.10 |
Teaec W/Graft Tibial/Peroneal Art 1st Vessel
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,289.20 | $1,289.20 | $1,400.00 | |
CareSource
| Facility | $1,282.18 | $1,478.45 | $1,610.79 | |
Cigna
| Facility | $1,383.10 | $1,383.10 | $1,383.10 |