| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,102.59 | $1,102.59 | $1,102.59 | |
Providence
| Facility | $567.21 | $709.01 | $1,102.59 |
Replacement, irrigation or revision of lumbosubarachnoid shunt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,102.59 | $1,102.59 | $1,102.59 | |
Providence
| Facility | $567.21 | $709.01 | $1,102.59 |