| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,281.36 | $1,281.36 | $1,281.36 | |
Providence
| Facility | $1,281.36 | $1,592.50 | $1,663.48 |
Pericardiotomy Removal Clot/Foreign Body Primary
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,281.36 | $1,281.36 | $1,281.36 | |
Providence
| Facility | $1,281.36 | $1,592.50 | $1,663.48 |