| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $319.17 | $319.17 | $8,500.00 | |
Medica
| Facility | $319.17 | $435.47 | $697.45 | |
United
| Facility | $681.00 | $681.00 | $681.00 |
Bkbench Rcnstj Lvr Grf Venous Anast Ea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $319.17 | $319.17 | $8,500.00 | |
Medica
| Facility | $319.17 | $435.47 | $697.45 | |
United
| Facility | $681.00 | $681.00 | $681.00 |