| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $152.22 | $152.22 | $152.22 | |
Medica
| Facility | $95.83 | $166.50 | $1,821.49 | |
Medica
| Professional | $5,272.00 | $5,272.00 | $5,272.00 |
Plmt Xtn Prosth Evasc Rpr Infrarenal Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $152.22 | $152.22 | $152.22 | |
Medica
| Facility | $95.83 | $166.50 | $1,821.49 | |
Medica
| Professional | $5,272.00 | $5,272.00 | $5,272.00 |