| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $16.64 | $19.75 | $30.06 |
Medcost
| Facility | 26 | $24.71 | $26.00 | $55.81 |
Wellcare
| Facility | 26 | $42.64 | $61.36 | $297.00 |
Mechanical Rmvl Intraluminal Obstr Matrl Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $16.64 | $19.75 | $30.06 |
Medcost
| Facility | 26 | $24.71 | $26.00 | $55.81 |
Wellcare
| Facility | 26 | $42.64 | $61.36 | $297.00 |