| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,086.51 | $1,086.51 | $8,500.00 | |
Medica
| Facility | $1,086.51 | $1,483.82 | $3,259.53 |
Byp Oth/Thn Vein Popliteal-Tibial/-Peroneal Art
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,086.51 | $1,086.51 | $8,500.00 | |
Medica
| Facility | $1,086.51 | $1,483.82 | $3,259.53 |