| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.14 | $23.78 | $58.08 |
Martin's Point
| Facility | 26 | $18.14 | $33.54 | $59.35 |
UPMC Health Plan
| Facility | 26 | $18.23 | $18.23 | $18.60 |
Mechanical Rmvl Intraluminal Obstr Matrl Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.14 | $23.78 | $58.08 |
Martin's Point
| Facility | 26 | $18.14 | $33.54 | $59.35 |
UPMC Health Plan
| Facility | 26 | $18.23 | $18.23 | $18.60 |