| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $382.88 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $420.90 | $535.67 | $575.66 | |
United
| Facility | $3,085.00 | $4,262.00 | $17,636.00 |
Byp Autog Composit 2 Seg Veins From 2 Locations
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $382.88 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $420.90 | $535.67 | $575.66 | |
United
| Facility | $3,085.00 | $4,262.00 | $17,636.00 |