| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,029.59 | $2,029.59 | $2,029.59 | |
Providence
| Facility | $1,000.95 | $1,376.31 | $2,029.59 |
Nerve Graft Head/Neck >4 Cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,029.59 | $2,029.59 | $2,029.59 | |
Providence
| Facility | $1,000.95 | $1,376.31 | $2,029.59 |