| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,573.19 | $1,573.19 | $1,573.19 | |
Providence
| Facility | $966.02 | $1,315.57 | $1,843.11 |
Exclusion Sm Int From Pelvis Mesh/Prosth/Tiss
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,573.19 | $1,573.19 | $1,573.19 | |
Providence
| Facility | $966.02 | $1,315.57 | $1,843.11 |