| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $14,157.40 | $18,537.23 | $25,658.52 | |
United
| Facility | $22,380.40 | $22,380.40 | $22,380.40 |
Concussion w MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $14,157.40 | $18,537.23 | $25,658.52 | |
United
| Facility | $22,380.40 | $22,380.40 | $22,380.40 |