| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,326.51 | $1,326.51 | $8,500.00 | |
Medica
| Facility | $1,326.51 | $1,806.17 | $3,979.53 |
Teaec W/Wo Patch Graft Mesenteric Celiac/Renal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,326.51 | $1,326.51 | $8,500.00 | |
Medica
| Facility | $1,326.51 | $1,806.17 | $3,979.53 |