| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $677.33 | $708.62 | $849.01 | |
Providence
| Facility | $3,650.00 | $3,650.00 | $3,650.00 | |
Providence
| Professional | $4,380.00 | $4,562.50 | $6,387.50 |
Corplex P, per cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $677.33 | $708.62 | $849.01 | |
Providence
| Facility | $3,650.00 | $3,650.00 | $3,650.00 | |
Providence
| Professional | $4,380.00 | $4,562.50 | $6,387.50 |