| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,934.18 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,621.64 | $7,556.42 | $10,805.68 | |
Providence
| Facility | $1,621.64 | $7,556.42 | $10,805.68 |
In-Situ Vein Byp Pop-Tibl Proneal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,934.18 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,621.64 | $7,556.42 | $10,805.68 | |
Providence
| Facility | $1,621.64 | $7,556.42 | $10,805.68 |