| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,490.74 | $5,188.14 | $5,188.14 | |
Martin's Point
| Facility | $4,055.70 | $4,055.70 | $5,188.14 |
Revision (including removal) of prosthetic vaginal graft; vaginal approach
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,490.74 | $5,188.14 | $5,188.14 | |
Martin's Point
| Facility | $4,055.70 | $4,055.70 | $5,188.14 |