| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $45.46 | $45.46 | $699.00 | |
Cigna
| Facility | 52 | $35.19 | $35.19 | $35.19 |
Cigna
| Facility | 53 | $8.80 | $8.80 | $8.80 |
Naso/Oro-Gastric Tube Plmt Req Phys&Fluor Gdnce
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $45.46 | $45.46 | $699.00 | |
Cigna
| Facility | 52 | $35.19 | $35.19 | $35.19 |
Cigna
| Facility | 53 | $8.80 | $8.80 | $8.80 |