| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,770.37 | $4,770.37 | $4,770.37 | |
Cigna
| Facility | $1,756.17 | $1,756.17 | $1,756.17 | |
Providence
| Facility | $1,756.17 | $2,176.19 | $2,251.07 |
Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,770.37 | $4,770.37 | $4,770.37 | |
Cigna
| Facility | $1,756.17 | $1,756.17 | $1,756.17 | |
Providence
| Facility | $1,756.17 | $2,176.19 | $2,251.07 |