| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,783.51 | $1,783.51 | $1,783.51 | |
Providence
| Facility | $1,783.51 | $1,783.51 | $1,783.51 |
Evasc Rpr Dplmnt Ilio-Iliac Ndgft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,783.51 | $1,783.51 | $1,783.51 | |
Providence
| Facility | $1,783.51 | $1,783.51 | $1,783.51 |