| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $21,877.62 | $29,512.09 | $38,018.94 | |
Providence
| Facility | $21,877.62 | $29,512.09 | $50,118.72 |
Level 1 ICD and Similar Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $21,877.62 | $29,512.09 | $38,018.94 | |
Providence
| Facility | $21,877.62 | $29,512.09 | $50,118.72 |