| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $890.71 | $890.71 | $890.71 | |
Providence
| Facility | $443.02 | $609.16 | $890.71 |
Synvct Mtcarphlngl Jt W/Intrnsc Rls&Xtnsr Hood
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $890.71 | $890.71 | $890.71 | |
Providence
| Facility | $443.02 | $609.16 | $890.71 |