| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,503.33 | $2,503.33 | $2,503.33 | |
Providence
| Facility | $2,503.33 | $2,992.60 | $3,122.65 |
Rpr Blvsl W/Grft Other/Than Vein Intra-Abdominal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,503.33 | $2,503.33 | $2,503.33 | |
Providence
| Facility | $2,503.33 | $2,992.60 | $3,122.65 |