| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $243.45 | $243.45 | $243.45 | |
Providence
| Facility | $243.45 | $304.85 | $313.72 |
Roprtj Crtd Teaec > 1 Mo After Original Opratio
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $243.45 | $243.45 | $243.45 | |
Providence
| Facility | $243.45 | $304.85 | $313.72 |