| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,430.18 | $1,430.18 | $1,430.18 | |
Providence
| Facility | $1,430.18 | $1,774.50 | $1,845.00 |
Rpr Blvsl W/Grf Other/Than Vein Lower Extremity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,430.18 | $1,430.18 | $1,430.18 | |
Providence
| Facility | $1,430.18 | $1,774.50 | $1,845.00 |