| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,231.77 | $1,231.77 | $8,500.00 | |
Medica
| Facility | $1,231.77 | $1,690.86 | $3,695.31 |
Byp Oth/Thn Vein Fem-Ant Tibl Pst Tibl/Proneal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,231.77 | $1,231.77 | $8,500.00 | |
Medica
| Facility | $1,231.77 | $1,690.86 | $3,695.31 |