| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $862.93 | $862.93 | $8,500.00 | |
Medica
| Facility | $862.93 | $1,198.20 | $2,588.79 |
Teaec W/Wo Patch Grf Axillary-Brachial
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $862.93 | $862.93 | $8,500.00 | |
Medica
| Facility | $862.93 | $1,198.20 | $2,588.79 |