| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $17,492.83 | $17,492.83 | $18,386.33 |
Ful Th Brn Wo Grft Inhal W Cc Or Sig Tr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $17,492.83 | $17,492.83 | $18,386.33 |