| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,025.83 | $1,025.83 | $1,025.83 | |
Providence
| Facility | $502.20 | $690.53 | $1,025.83 |
Cross Intrinsic Transfer Each Tendon
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,025.83 | $1,025.83 | $1,025.83 | |
Providence
| Facility | $502.20 | $690.53 | $1,025.83 |