| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,479.11 | $1,479.11 | $1,862.09 | |
Medica
| Facility | $1,023.29 | $1,479.11 | $2,818.38 | |
Medica
| Professional | $1,258.93 | $4,265.80 | $4,265.80 |
Plmt Xtn Prosth Evasc Rpr Arysm/Dsj 1St Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,479.11 | $1,479.11 | $1,862.09 | |
Medica
| Facility | $1,023.29 | $1,479.11 | $2,818.38 | |
Medica
| Professional | $1,258.93 | $4,265.80 | $4,265.80 |