| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $13,851.96 | $13,851.96 | $14,559.49 |
Non-Extensive OR Procedures Unrelated To Principal Diagnosis Without Cc/Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $13,851.96 | $13,851.96 | $14,559.49 |