| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $83,964.20 | $83,964.20 | $83,964.20 | |
Providence
| Facility | $29,176.08 | $29,176.08 | $83,964.20 |
Ultrasound accelerated & oth thrombolysis of periph vascular w/o MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $83,964.20 | $83,964.20 | $83,964.20 | |
Providence
| Facility | $29,176.08 | $29,176.08 | $83,964.20 |