| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,278.25 | $1,278.25 | $8,500.00 | |
Medica
| Facility | $1,278.25 | $1,734.42 | $3,834.75 |
Byp W/Vein Pop-Tibl-Proneal Art/Oth Dstl Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,278.25 | $1,278.25 | $8,500.00 | |
Medica
| Facility | $1,278.25 | $1,734.42 | $3,834.75 |