| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,982.79 | $1,982.79 | $1,982.79 | |
Providence
| Facility | $1,982.79 | $2,423.85 | $2,517.98 |
Byp Oth/Thn Vein Fem-Ant Tibl Pst Tibl/Proneal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,982.79 | $1,982.79 | $1,982.79 | |
Providence
| Facility | $1,982.79 | $2,423.85 | $2,517.98 |