| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,257.79 | $2,257.79 | $2,257.79 | |
Providence
| Facility | $1,388.41 | $1,881.24 | $2,633.73 |
Clsr Enteroenteric/Enterocolic Fstl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,257.79 | $2,257.79 | $2,257.79 | |
Providence
| Facility | $1,388.41 | $1,881.24 | $2,633.73 |