| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,963.86 | $1,963.86 | $1,963.86 | |
Providence
| Facility | $1,963.86 | $2,426.44 | $2,519.25 |
Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,963.86 | $1,963.86 | $1,963.86 | |
Providence
| Facility | $1,963.86 | $2,426.44 | $2,519.25 |