| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.98 | $338.98 | $1,400.00 | |
CareSource
| Facility | $346.79 | $346.79 | $434.01 | |
Cigna
| Facility | $371.82 | $371.82 | $371.82 |
Bkbench Rcnstj Lvr Grf Venous Anast Ea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.98 | $338.98 | $1,400.00 | |
CareSource
| Facility | $346.79 | $346.79 | $434.01 | |
Cigna
| Facility | $371.82 | $371.82 | $371.82 |