| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $645.65 | $776.25 | $933.25 | |
Horizon BCBS
| Professional | $281.84 | $416.87 | $630.96 |
Plmt Xtn Prosth Evasc Rpr Arysm/Dsj Ea Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $645.65 | $776.25 | $933.25 | |
Horizon BCBS
| Professional | $281.84 | $416.87 | $630.96 |