| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,451.73 | $1,451.73 | $1,451.73 | |
Providence
| Facility | $1,451.73 | $1,799.20 | $1,867.77 |
Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or venous graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,451.73 | $1,451.73 | $1,451.73 | |
Providence
| Facility | $1,451.73 | $1,799.20 | $1,867.77 |