| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $75,210.17 | $75,210.17 | $75,210.17 | |
Providence
| Facility | $28,110.52 | $28,110.52 | $75,210.17 |
Poison&Toxic Effects Drugs Age 0-17
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $75,210.17 | $75,210.17 | $75,210.17 | |
Providence
| Facility | $28,110.52 | $28,110.52 | $75,210.17 |