| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,160.51 | $2,160.51 | $2,160.51 | |
Providence
| Facility | $2,160.51 | $2,564.90 | $2,661.56 |
Rpr Blood Vessel Direct Intrathoracic W/Bypass
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,160.51 | $2,160.51 | $2,160.51 | |
Providence
| Facility | $2,160.51 | $2,564.90 | $2,661.56 |