| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,874.49 | $3,874.49 | $3,874.49 |
Lig&Div Long Saph Vein Saphfem Junct/Interrupj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,874.49 | $3,874.49 | $3,874.49 |