| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,726.93 | $4,726.93 | $4,726.93 | |
Providence
| Facility | $2,284.58 | $4,972.50 | $5,294.66 |
Trnscondlr Post Crnl Fossa Dcompr Art W/Wo Mobil
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,726.93 | $4,726.93 | $4,726.93 | |
Providence
| Facility | $2,284.58 | $4,972.50 | $5,294.66 |