| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,615.78 | $1,615.78 | $1,615.78 | |
Providence
| Facility | $800.24 | $1,100.33 | $1,615.78 |
Proph Tx W/Wo Methylmethacrylate Prox Humerus
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,615.78 | $1,615.78 | $1,615.78 | |
Providence
| Facility | $800.24 | $1,100.33 | $1,615.78 |