| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,503.79 | $1,503.79 | $1,503.79 | |
Providence
| Facility | $1,503.79 | $1,872.00 | $1,940.51 |
Teaec W/Wo Patch Graft Deep Profunda Femoral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,503.79 | $1,503.79 | $1,503.79 | |
Providence
| Facility | $1,503.79 | $1,872.00 | $1,940.51 |