| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,597.38 | $1,597.38 | $1,597.38 | |
Providence
| Facility | $901.14 | $1,079.53 | $2,257.94 |
Graft for facial nerve paralysis; free fascia graft (including obtaining fascia)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,597.38 | $1,597.38 | $1,597.38 | |
Providence
| Facility | $901.14 | $1,079.53 | $2,257.94 |