| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $41.01 | $41.01 | $50.70 |
Providence
| Facility | 26 | $41.01 | $41.01 | $50.70 |
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $41.01 | $41.01 | $50.70 |
Providence
| Facility | 26 | $41.01 | $41.01 | $50.70 |