| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,574.50 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $1,092.78 | $4,944.84 | $7,071.12 | |
Providence
| Facility | $1,092.78 | $4,944.84 | $7,071.12 |
Teaec W/Wo Patch Grf Axillary-Brachial
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,574.50 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $1,092.78 | $4,944.84 | $7,071.12 | |
Providence
| Facility | $1,092.78 | $4,944.84 | $7,071.12 |