| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $492.55 | $492.55 | $8,500.00 | |
Medica
| Facility | $492.55 | $676.43 | $1,477.65 |
Revision (including removal) of prosthetic vaginal graft; vaginal approach
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $492.55 | $492.55 | $8,500.00 | |
Medica
| Facility | $492.55 | $676.43 | $1,477.65 |