| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,387.06 | $1,387.06 | $1,387.06 | |
Providence
| Facility | $1,387.06 | $1,691.95 | $1,756.45 |
Teaec W/Wo Patch Grf Axillary-Brachial
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,387.06 | $1,387.06 | $1,387.06 | |
Providence
| Facility | $1,387.06 | $1,691.95 | $1,756.45 |