| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,573.72 | $1,573.72 | $1,573.72 | |
Providence
| Facility | $1,573.72 | $1,929.85 | $2,011.98 |
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,573.72 | $1,573.72 | $1,573.72 | |
Providence
| Facility | $1,573.72 | $1,929.85 | $2,011.98 |