| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $258.75 | $321.82 | $518.92 | |
Horizon BCBS
| Professional | $169.10 | $256.10 | $586.29 |
Trluml Balo Angioplasty Renal/Oth Visc Art Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $258.75 | $321.82 | $518.92 | |
Horizon BCBS
| Professional | $169.10 | $256.10 | $586.29 |