| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $427.37 | $455.23 | $5,889.95 | |
Medcost
| Facility | $341.16 | $5,208.60 | $7,622.46 | |
Wellcare
| Facility | $55.00 | $6,199.92 | $6,199.92 |
Revsc Opn/Prq Tib/Pero W/Stnt/Angiop Uni Ea Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $427.37 | $455.23 | $5,889.95 | |
Medcost
| Facility | $341.16 | $5,208.60 | $7,622.46 | |
Wellcare
| Facility | $55.00 | $6,199.92 | $6,199.92 |