| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $920.15 | $920.15 | $920.15 | |
Providence
| Facility | $920.15 | $1,142.70 | $1,189.09 |
Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm incision
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $920.15 | $920.15 | $920.15 | |
Providence
| Facility | $920.15 | $1,142.70 | $1,189.09 |