| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,100.00 | $1,746.00 | $2,729.00 | |
BCBS
| Facility | $4,878.02 | $5,919.71 | $7,963.91 | |
United
| Facility | $2,125.00 | $5,085.00 | $9,624.00 |
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,100.00 | $1,746.00 | $2,729.00 | |
BCBS
| Facility | $4,878.02 | $5,919.71 | $7,963.91 | |
United
| Facility | $2,125.00 | $5,085.00 | $9,624.00 |