| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,337.17 | $2,337.17 | $2,337.17 | |
Providence
| Facility | $1,160.57 | $2,458.30 | $2,557.19 |
Tcat Plmt Iv Stent Icra W/Balo Angiop If Pfrmd
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,337.17 | $2,337.17 | $2,337.17 | |
Providence
| Facility | $1,160.57 | $2,458.30 | $2,557.19 |