| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $30,166.00 | $35,762.00 | $65,028.83 | |
Harvard Pilgrim
| Facility | $30,240.68 | $45,554.01 | $66,924.09 | |
United
| Facility | $37,099.87 | $37,099.87 | $64,563.99 |
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $30,166.00 | $35,762.00 | $65,028.83 | |
Harvard Pilgrim
| Facility | $30,240.68 | $45,554.01 | $66,924.09 | |
United
| Facility | $37,099.87 | $37,099.87 | $64,563.99 |