| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $8,621.37 | $11,288.54 | $15,625.16 | |
United
| Facility | $13,628.90 | $13,628.90 | $13,628.90 |
Concussion Without Cc/Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $8,621.37 | $11,288.54 | $15,625.16 | |
United
| Facility | $13,628.90 | $13,628.90 | $13,628.90 |