| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $20,207.32 | $20,207.32 | $21,239.47 |
Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $20,207.32 | $20,207.32 | $21,239.47 |