| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $123.03 | $169.82 | $218.78 | |
Providence
| Facility | $123.03 | $169.82 | $309.03 |
Level 4 Minor Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $123.03 | $169.82 | $218.78 | |
Providence
| Facility | $123.03 | $169.82 | $309.03 |