| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $27,157.56 | $27,157.56 | $28,544.71 |
Amput For Circ Disor Exc Uppr Limb & Toe
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $27,157.56 | $27,157.56 | $28,544.71 |