| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,318.32 | $3,318.32 | $3,318.32 | |
Providence
| Facility | $1,636.07 | $2,184.34 | $3,318.32 |
Lam Exc Ispi Les Oth/Thn Neo Idrl Thoracic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,318.32 | $3,318.32 | $3,318.32 | |
Providence
| Facility | $1,636.07 | $2,184.34 | $3,318.32 |