| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,889.98 | $3,889.98 | $3,905.71 |
Rplcmt Compl Tun Ctr Vad W/Subq Port
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,889.98 | $3,889.98 | $3,905.71 |