| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,006.45 | $2,006.45 | $2,006.45 | |
Providence
| Facility | $2,006.45 | $2,050.75 | $2,111.92 |
Insj Ventric Assist Dev Xtrcorp Single Ventricle
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,006.45 | $2,006.45 | $2,006.45 | |
Providence
| Facility | $2,006.45 | $2,050.75 | $2,111.92 |