| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $104.11 | $104.11 | $123.75 |
Providence
| Facility | 26 | $104.11 | $104.11 | $123.75 |
Programmed Stimj & Pacg After Iv Drug Nfs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $104.11 | $104.11 | $123.75 |
Providence
| Facility | 26 | $104.11 | $104.11 | $123.75 |