| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,090.00 | $8,031.00 | $15,171.00 | |
Anthem BCBS
| Facility | $9,920.00 | $11,936.00 | $15,915.00 | |
United
| Facility | $6,943.00 | $10,797.00 | $18,470.00 |
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,090.00 | $8,031.00 | $15,171.00 | |
Anthem BCBS
| Facility | $9,920.00 | $11,936.00 | $15,915.00 | |
United
| Facility | $6,943.00 | $10,797.00 | $18,470.00 |