| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,587.01 | $3,587.01 | $3,587.01 | |
Providence
| Facility | $2,017.75 | $2,431.19 | $5,162.60 |
Free muscle or myocutaneous flap with microvascular anastomosis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,587.01 | $3,587.01 | $3,587.01 | |
Providence
| Facility | $2,017.75 | $2,431.19 | $5,162.60 |