| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,270.98 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $951.92 | $4,361.87 | $6,237.47 | |
Providence
| Facility | $951.92 | $4,361.87 | $6,237.47 |
Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,270.98 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $951.92 | $4,361.87 | $6,237.47 | |
Providence
| Facility | $951.92 | $4,361.87 | $6,237.47 |