| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,549.01 | $1,549.01 | $1,549.01 | |
Providence
| Facility | $756.34 | $1,591.85 | $1,690.67 |
Clsr Rectovaginal Fistula Abdominal Approach
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,549.01 | $1,549.01 | $1,549.01 | |
Providence
| Facility | $756.34 | $1,591.85 | $1,690.67 |