| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.32 | $92.10 | $155.24 |
Cigna
| Facility | 26 | $98.22 | $98.22 | $98.22 |
Medica
| Facility | 26 | $297.00 | $297.00 | $297.00 |
Midlands
| Facility | 26 | $61.03 | $62.81 | $98.22 |
Mechanical Rmvl Intraluminal Obstr Matrl Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.32 | $92.10 | $155.24 |
Cigna
| Facility | 26 | $98.22 | $98.22 | $98.22 |
Medica
| Facility | 26 | $297.00 | $297.00 | $297.00 |
Midlands
| Facility | 26 | $61.03 | $62.81 | $98.22 |