| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,513.85 | $2,513.85 | $2,513.85 | |
Providence
| Facility | $1,234.58 | $2,741.05 | $2,932.90 |
Crx Rpr Dural/Csf Leak Rhinorrhea/Otorrhea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,513.85 | $2,513.85 | $2,513.85 | |
Providence
| Facility | $1,234.58 | $2,741.05 | $2,932.90 |