| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,922.85 | $1,922.85 | $1,922.85 | |
Providence
| Facility | $1,077.00 | $1,424.83 | $2,547.52 |
Musc Myocutaneous/Fasciocutaneous Flap Uxtr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,922.85 | $1,922.85 | $1,922.85 | |
Providence
| Facility | $1,077.00 | $1,424.83 | $2,547.52 |