| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,213.97 | $1,341.54 | $9,551.35 | |
Cigna
| Facility | $3,173.57 | $3,173.57 | $3,173.57 | |
Kaiser Permanente
| Professional | $812.30 | $1,047.86 | $1,745.70 |
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 | $1,213.97 | $1,341.54 | $9,551.35 | |
Cigna
| Facility | $3,173.57 | $3,173.57 | $3,173.57 | |
Kaiser Permanente
| Professional | $812.30 | $1,047.86 | $1,745.70 |