| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,383.38 | $1,383.38 | $1,383.38 | |
Providence
| Facility | $773.93 | $939.79 | $1,884.47 |
Exc Sacral Pressure Ulc W/Prim Sutr W/Ostectomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,383.38 | $1,383.38 | $1,383.38 | |
Providence
| Facility | $773.93 | $939.79 | $1,884.47 |