| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $244.11 | $244.11 | $305.13 | |
Medica
| Facility | $844.94 | $844.94 | $844.94 |
Trluml Balo Angioplasty Renal/Oth Visc Art Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $244.11 | $244.11 | $305.13 | |
Medica
| Facility | $844.94 | $844.94 | $844.94 |