| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $115.15 | $115.15 | $136.88 |
Providence
| Facility | 26 | $115.15 | $115.15 | $136.88 |
Endoluminal Coronary Ivus Oct I&R Addl Vessel
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $115.15 | $115.15 | $136.88 |
Providence
| Facility | 26 | $115.15 | $115.15 | $136.88 |