| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $41,912.80 | $41,912.80 | $44,053.62 |
O.R. proc w diagnoses of other contact w health services w MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $41,912.80 | $41,912.80 | $44,053.62 |