| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,105.88 | $1,105.88 | $8,500.00 | |
Medica
| Facility | $1,105.88 | $1,500.74 | $3,317.64 |
Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,105.88 | $1,105.88 | $8,500.00 | |
Medica
| Facility | $1,105.88 | $1,500.74 | $3,317.64 |