| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,465.40 | $1,465.40 | $1,465.40 | |
Providence
| Facility | $723.17 | $903.96 | $1,465.40 |
Impltj Revj/Rpsg Ithcl/Edrl Cath W/Lam
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,465.40 | $1,465.40 | $1,465.40 | |
Providence
| Facility | $723.17 | $903.96 | $1,465.40 |