| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,720.94 | $1,720.94 | $1,720.94 | |
Providence
| Facility | $1,720.94 | $2,120.94 | $2,205.53 |
Thromboendarterectomy, including patch graft, if performed; superficial femoral artery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,720.94 | $1,720.94 | $1,720.94 | |
Providence
| Facility | $1,720.94 | $2,120.94 | $2,205.53 |