| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,004.88 | $2,004.88 | $2,004.88 | |
Providence
| Facility | $992.03 | $1,364.04 | $2,004.88 |
Rpr Non/Mal Femur Dstl H/N W/Iliac/Autog Bone
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,004.88 | $2,004.88 | $2,004.88 | |
Providence
| Facility | $992.03 | $1,364.04 | $2,004.88 |