| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,548.62 | $3,548.62 | $3,548.62 | |
Providence
| Facility | $2,007.10 | $2,405.79 | $5,090.58 |
Free Fascial Flap W/Microvascular Anastomosis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,548.62 | $3,548.62 | $3,548.62 | |
Providence
| Facility | $2,007.10 | $2,405.79 | $5,090.58 |