| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $814.23 | $814.23 | $814.23 |
Irdec Crnlsclrl/Crnl Sctj Rmvl Les
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $814.23 | $814.23 | $814.23 |