| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $15,427.52 | $15,427.52 | $16,215.52 |
Misc disorders of nutrition, metabolism, fluids/electrolytes w MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $15,427.52 | $15,427.52 | $16,215.52 |