| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,667.98 | $3,667.98 | $3,667.98 | |
Providence
| Facility | $1,817.26 | $4,407.64 | $4,503.39 |
Cstc Compl W/Continent Dvrj Opn Neobldr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,667.98 | $3,667.98 | $3,667.98 | |
Providence
| Facility | $1,817.26 | $4,407.64 | $4,503.39 |