| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $16,780.03 | $22,818.89 | $29,462.61 | |
Providence
| Facility | $16,780.03 | $22,818.89 | $40,194.01 |
Level 4 Breast/Lymphatic Surgery and Related Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $16,780.03 | $22,818.89 | $29,462.61 | |
Providence
| Facility | $16,780.03 | $22,818.89 | $40,194.01 |