| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,547.96 | $1,547.96 | $1,547.96 | |
Providence
| Facility | $1,547.96 | $1,834.95 | $1,908.89 |
Repair blood vessel with vein graft; upper extremity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,547.96 | $1,547.96 | $1,547.96 | |
Providence
| Facility | $1,547.96 | $1,834.95 | $1,908.89 |