| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $939.19 | $1,393.01 | $1,964.18 | |
Medica
| Facility | $1,033.22 | $1,033.22 | $1,033.22 |
Plmt Xtn Prosth Evasc Rpr Arysm/Dsj 1St Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $939.19 | $1,393.01 | $1,964.18 | |
Medica
| Facility | $1,033.22 | $1,033.22 | $1,033.22 |