| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,053.25 | $2,053.25 | $2,053.25 | |
Providence
| Facility | $2,053.25 | $2,629.90 | $2,734.93 |
In-situ vein bypass; popliteal-tibial, peroneal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,053.25 | $2,053.25 | $2,053.25 | |
Providence
| Facility | $2,053.25 | $2,629.90 | $2,734.93 |