| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $749.27 | $749.27 | $749.27 | |
Providence
| Facility | $505.76 | $700.00 | $1,145.70 | |
United
| Facility | $1,450.00 | $1,450.00 | $1,450.00 |
Severing Ads Ant Seg Incal Tq Spx Goniosynechiae
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $749.27 | $749.27 | $749.27 | |
Providence
| Facility | $505.76 | $700.00 | $1,145.70 | |
United
| Facility | $1,450.00 | $1,450.00 | $1,450.00 |