| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,745.66 | $1,745.66 | $1,745.66 | |
Providence
| Facility | $1,745.66 | $2,136.55 | $2,218.17 |
Byp Oth/Thn Vein Popliteal-Tibial/-Peroneal Art
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,745.66 | $1,745.66 | $1,745.66 | |
Providence
| Facility | $1,745.66 | $2,136.55 | $2,218.17 |