| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,096.29 | $1,096.29 | $1,096.29 | |
Providence
| Facility | $534.82 | $735.37 | $1,096.29 |
Capsulectomy/Capsulotomy Iphal Joint Each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,096.29 | $1,096.29 | $1,096.29 | |
Providence
| Facility | $534.82 | $735.37 | $1,096.29 |