| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $147.91 | $208.93 | $416.87 |
Plmt Xtn Prosth Evasc Rpr Infrarenal Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $147.91 | $208.93 | $416.87 |