| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $272.23 | $1,180.59 | $8,500.00 | |
Medica
| Facility | $272.23 | $1,180.59 | $2,007.02 |
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $272.23 | $1,180.59 | $8,500.00 | |
Medica
| Facility | $272.23 | $1,180.59 | $2,007.02 |