| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,568.01 | $2,568.01 | $2,568.01 | |
Providence
| Facility | $2,568.01 | $3,200.60 | $3,320.63 |
In-Situ Fem-Ant Tibl Pst Tibl/Proneal Art
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,568.01 | $2,568.01 | $2,568.01 | |
Providence
| Facility | $2,568.01 | $3,200.60 | $3,320.63 |