| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,917.59 | $1,917.59 | $1,917.59 | |
Providence
| Facility | $857.35 | $1,194.83 | $1,917.59 |
Litt Les Icr Single Trajectory 1 Simple Lesion
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,917.59 | $1,917.59 | $1,917.59 | |
Providence
| Facility | $857.35 | $1,194.83 | $1,917.59 |