| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $953.89 | $953.89 | $953.89 | |
MVP Health Care
| Facility | $105.94 | $153.97 | $254.50 | |
MVP Health Care
| Professional | $953.89 | $953.89 | $953.89 |
Trluml Balo Angioplasty Renal/Oth Visc Art Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $953.89 | $953.89 | $953.89 | |
MVP Health Care
| Facility | $105.94 | $153.97 | $254.50 | |
MVP Health Care
| Professional | $953.89 | $953.89 | $953.89 |