| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,912.86 | $1,912.86 | $1,912.86 | |
Providence
| Facility | $1,912.86 | $2,379.00 | $2,466.12 |
Dir Rpr Aneurysm & Graft Popliteal Artery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,912.86 | $1,912.86 | $1,912.86 | |
Providence
| Facility | $1,912.86 | $2,379.00 | $2,466.12 |