| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $789.47 | $789.47 | $8,500.00 | |
Medica
| Facility | $789.47 | $1,071.02 | $2,368.41 |
Teaec W/Wo Patch Graft Common Femoral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $789.47 | $789.47 | $8,500.00 | |
Medica
| Facility | $789.47 | $1,071.02 | $2,368.41 |