| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,036.42 | $2,036.42 | $2,036.42 | |
Providence
| Facility | $2,036.42 | $2,552.55 | $2,643.22 |
Byp W/Vein Pop-Tibl-Proneal Art/Oth Dstl Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,036.42 | $2,036.42 | $2,036.42 | |
Providence
| Facility | $2,036.42 | $2,552.55 | $2,643.22 |