| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $282.35 | $282.35 | $349.05 |
Providence
| Facility | 26 | $282.35 | $282.35 | $349.05 |
Ct Guidance &Monitoring Visc Tiss Ablation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $282.35 | $282.35 | $349.05 |
Providence
| Facility | 26 | $282.35 | $282.35 | $349.05 |