| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,523.53 | $1,523.53 | $1,523.53 | |
Medica
| Facility | $55.00 | $1,341.69 | $3,137.33 | |
Medica
| Professional | $5,352.35 | $5,352.35 | $5,352.35 |
Evasc Rpr Iliac Art Ilio-Iliac Prosthesis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,523.53 | $1,523.53 | $1,523.53 | |
Medica
| Facility | $55.00 | $1,341.69 | $3,137.33 | |
Medica
| Professional | $5,352.35 | $5,352.35 | $5,352.35 |