| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $644.89 | $644.89 | $8,500.00 | |
Aetna
| Facility | 53 | $128.97 | $128.97 | $128.97 |
Medica
| Facility | $644.89 | $791.07 | $1,934.67 |
Prq Trluml Coronry Tot Occlus Revasc Mi One Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $644.89 | $644.89 | $8,500.00 | |
Aetna
| Facility | 53 | $128.97 | $128.97 | $128.97 |
Medica
| Facility | $644.89 | $791.07 | $1,934.67 |