| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $1,308.83 | $1,792.70 | $4,289.93 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |
Byp Oth/Thn Vein Popliteal-Tibial/-Peroneal Art
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $1,308.83 | $1,792.70 | $4,289.93 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |