| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $224.52 | $224.52 | $224.52 | |
Providence
| Facility | $224.52 | $285.35 | $293.48 |
Rimpltj Visc Art Infrarnl Aortic Prosth Ea Art
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $224.52 | $224.52 | $224.52 | |
Providence
| Facility | $224.52 | $285.35 | $293.48 |