| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $19,300.57 | $19,300.57 | $20,286.40 |
Traumatic Injury Age >17 W Cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $19,300.57 | $19,300.57 | $20,286.40 |