| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $164.56 | $171.14 | $923.41 |
Medica
| Facility | 26 | $372.83 | $737.24 | $737.24 |
Plmt Dstl Xtn Prsth Evasc Desc Thorac Aorta Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $164.56 | $171.14 | $923.41 |
Medica
| Facility | 26 | $372.83 | $737.24 | $737.24 |