| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $39,023.32 | $39,023.32 | $39,023.32 | |
Priority Health
| Facility | $39,023.32 | $39,023.32 | $39,023.32 |
Level 4 Breast/Lymphatic Surgery and Related Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $39,023.32 | $39,023.32 | $39,023.32 | |
Priority Health
| Facility | $39,023.32 | $39,023.32 | $39,023.32 |