| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $5,017.18 | $5,017.18 | $5,017.18 | |
Providence
| Facility | $5,017.18 | $5,017.18 | $5,017.18 |
Transvrs A-Arch Grf W/Card Byp Prfd Hypothermia
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $5,017.18 | $5,017.18 | $5,017.18 | |
Providence
| Facility | $5,017.18 | $5,017.18 | $5,017.18 |