| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $636.22 | $636.22 | $636.22 | |
Providence
| Facility | $636.22 | $636.22 | $636.22 |
Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $636.22 | $636.22 | $636.22 | |
Providence
| Facility | $636.22 | $636.22 | $636.22 |