| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,825.20 | $3,825.20 | $3,825.20 | |
Providence
| Facility | $2,626.65 | $2,729.24 | $3,825.20 |
Pericardiectomy, subtotal or complete; with cardiopulmonary bypass
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,825.20 | $3,825.20 | $3,825.20 | |
Providence
| Facility | $2,626.65 | $2,729.24 | $3,825.20 |