| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,982.34 | $2,982.34 | $2,982.34 | |
Providence
| Facility | $1,464.22 | $3,134.30 | $3,316.83 |
Laps W/Rad Hyst W/Bilat Lmphadec Rmvl Tube/Ovary
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,982.34 | $2,982.34 | $2,982.34 | |
Providence
| Facility | $1,464.22 | $3,134.30 | $3,316.83 |