| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $405.39 | $405.39 | $405.39 | |
Providence
| Facility | $199.75 | $405.39 | $633.67 |
Expl Penetrating Wound Spx Abdomen/Flank/Back
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $405.39 | $405.39 | $405.39 | |
Providence
| Facility | $199.75 | $405.39 | $633.67 |