| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $604.55 | $604.55 | $863.00 |
Hrhc Ntrnl & Xtrnl 2/> Column/Group W/Fissu
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $604.55 | $604.55 | $863.00 |