| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $456.00 | $456.00 | $678.98 |
Revj Ileostomy Simple Rls Superficial Scar Spx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $456.00 | $456.00 | $678.98 |