| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,286.69 | $2,286.69 | $2,286.69 | |
Providence
| Facility | $1,091.40 | $1,839.77 | $2,593.25 |
Mgmt Lvr Hemrrg Re-Expl Wnd Rmvl Packing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,286.69 | $2,286.69 | $2,286.69 | |
Providence
| Facility | $1,091.40 | $1,839.77 | $2,593.25 |