| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $30,166.00 | $35,762.00 | $66,254.69 | |
Harvard Pilgrim
| Facility | $27,088.83 | $46,412.75 | $64,947.37 | |
United
| Facility | $37,799.25 | $37,799.25 | $65,781.10 |
Coronary intravascular lithotripsy w/o intraluminal device
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $30,166.00 | $35,762.00 | $66,254.69 | |
Harvard Pilgrim
| Facility | $27,088.83 | $46,412.75 | $64,947.37 | |
United
| Facility | $37,799.25 | $37,799.25 | $65,781.10 |