| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $400.66 | $400.66 | $8,500.00 | |
Medica
| Facility | $400.66 | $502.32 | $1,201.98 |
Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $400.66 | $400.66 | $8,500.00 | |
Medica
| Facility | $400.66 | $502.32 | $1,201.98 |