| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,412.90 | $2,412.90 | $2,412.90 | |
Providence
| Facility | $1,199.21 | $1,294.57 | $2,412.90 |
Excision Ch Wal Tum W/Rib W/O Medstnl Lymphadec
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,412.90 | $2,412.90 | $2,412.90 | |
Providence
| Facility | $1,199.21 | $1,294.57 | $2,412.90 |