| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $948.82 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $325.89 | $1,734.62 | $2,428.46 | |
Providence
| Facility | $325.89 | $1,734.62 | $2,428.46 |
Bkbench Rcnstj Lvr Grf Venous Anast Ea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $948.82 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $325.89 | $1,734.62 | $2,428.46 | |
Providence
| Facility | $325.89 | $1,734.62 | $2,428.46 |