| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,192.01 | $2,192.01 | $8,500.00 | |
Medica
| Facility | $2,192.01 | $3,039.86 | $6,576.03 |
Cstc Compl W/Conduit/Sigmoid Bldr Pel Lmphadec
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,192.01 | $2,192.01 | $8,500.00 | |
Medica
| Facility | $2,192.01 | $3,039.86 | $6,576.03 |