| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.75 | $25.63 | $42.18 |
Medica
| Facility | 26 | $48.53 | $48.53 | $48.53 |
Mechanical Rmvl Intraluminal Obstr Matrl Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.75 | $25.63 | $42.18 |
Medica
| Facility | 26 | $48.53 | $48.53 | $48.53 |