| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $7,655.00 | $14,450.00 | |
Medica
| Facility | $736.71 | $1,739.00 | $26,542.00 | |
United
| Facility | $2,269.00 | $6,170.00 | $12,989.00 |
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $7,655.00 | $14,450.00 | |
Medica
| Facility | $736.71 | $1,739.00 | $26,542.00 | |
United
| Facility | $2,269.00 | $6,170.00 | $12,989.00 |