| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $930.14 | $930.14 | $930.14 | |
Providence
| Facility | $457.99 | $629.74 | $930.14 |
Amputation, leg, through tibia and fibula; open, circular (guillotine)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $930.14 | $930.14 | $930.14 | |
Providence
| Facility | $457.99 | $629.74 | $930.14 |