| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,349.70 | $1,349.70 | $1,363.00 | |
Cigna
| Facility | AS | $132.97 | $132.97 | $132.97 |
Exc Prtd Tum/Prtd Glnd Tot Dsj&Prsrv Facial Nr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,349.70 | $1,349.70 | $1,363.00 | |
Cigna
| Facility | AS | $132.97 | $132.97 | $132.97 |