| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $188.76 | $188.76 | $188.76 | |
Providence
| Facility | $188.76 | $188.76 | $188.76 |
Perq Access & Closure Fem Art For Delivery Ndgft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $188.76 | $188.76 | $188.76 | |
Providence
| Facility | $188.76 | $188.76 | $188.76 |