| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $10,456.36 | $10,456.36 | $13,070.45 |
Ancillary Outpatient Services When Patient Dies
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $10,456.36 | $10,456.36 | $13,070.45 |