| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,705.42 | $12,738.91 | $53,682.93 |
Prq Trluml Coronry Tot Occlus Revasc Mi One Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,705.42 | $12,738.91 | $53,682.93 |