| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,403.50 | $3,403.50 | $3,403.50 | |
Providence
| Facility | $1,682.22 | $4,101.50 | $4,190.95 |
Cstc Compl W/Conduit/Sigmoid Bldr Pel Lmphadec
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,403.50 | $3,403.50 | $3,403.50 | |
Providence
| Facility | $1,682.22 | $4,101.50 | $4,190.95 |