| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $262.37 | $262.37 | $262.37 | |
Providence
| Facility | $262.37 | $1,582.10 | $1,740.64 |
Slctv Cath Plmt Segmental/Subsegmental Pulm Art
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $262.37 | $262.37 | $262.37 | |
Providence
| Facility | $262.37 | $1,582.10 | $1,740.64 |