| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,843.00 | $2,843.00 | $2,843.00 | |
Providence
| Facility | $1,397.02 | $3,175.90 | $3,440.80 |
Maxillectomy; without orbital exenteration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,843.00 | $2,843.00 | $2,843.00 | |
Providence
| Facility | $1,397.02 | $3,175.90 | $3,440.80 |