| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $28,398.13 | $28,398.13 | $29,848.65 |
Extensive O.R. procedure unrelated to principal diagnosis w CC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $28,398.13 | $28,398.13 | $29,848.65 |