| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,408.88 | $1,408.88 | $8,500.00 | |
Medica
| Facility | $1,408.88 | $2,012.33 | $4,226.64 |
Tcat Plmt Iv Stent Icra W/Balo Angiop If Pfrmd
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,408.88 | $1,408.88 | $8,500.00 | |
Medica
| Facility | $1,408.88 | $2,012.33 | $4,226.64 |