| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,845.03 | $1,845.03 | $1,845.03 | |
Providence
| Facility | $910.22 | $1,251.56 | $1,980.36 |
App Mltpln Uni Xtrnl Fix Strtctc Adjmt 1st&Subsq
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,845.03 | $1,845.03 | $1,845.03 | |
Providence
| Facility | $910.22 | $1,251.56 | $1,980.36 |