| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $11,755.45 | $11,755.45 | $12,355.90 |
Other injury, poisoning & toxic effect diag w/o MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $11,755.45 | $11,755.45 | $12,355.90 |