| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,191.70 | $1,692.14 | $3,109.00 | |
United
| Facility | $2,104.00 | $4,555.00 | $8,929.00 |
Teaec W/Wo Patch Graft Deep Profunda Femoral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,191.70 | $1,692.14 | $3,109.00 | |
United
| Facility | $2,104.00 | $4,555.00 | $8,929.00 |