| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,136.33 | $2,136.33 | $2,136.33 | |
Providence
| Facility | $2,136.33 | $2,615.60 | $2,702.67 |
Teaec W/Wo Patch Graft Mesenteric Celiac/Renal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,136.33 | $2,136.33 | $2,136.33 | |
Providence
| Facility | $2,136.33 | $2,615.60 | $2,702.67 |