| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $100,750.53 | $100,750.53 | $100,750.53 | |
Providence
| Facility | $38,670.78 | $38,670.78 | $100,750.53 |
Coronary intravascular lithotripsy w intraluminal device w MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $100,750.53 | $100,750.53 | $100,750.53 | |
Providence
| Facility | $38,670.78 | $38,670.78 | $100,750.53 |