| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,317.65 | $1,317.65 | $1,317.65 | |
Providence
| Facility | $1,317.65 | $1,558.70 | $1,623.63 |
Atria Abltj & Rcnstj W/Other Px Exten W/Bypass
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,317.65 | $1,317.65 | $1,317.65 | |
Providence
| Facility | $1,317.65 | $1,558.70 | $1,623.63 |