| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $6,025.60 | $6,025.60 | $6,025.60 | |
Medica
| Facility | $3,715.35 | $3,715.35 | $3,715.35 |
Operating Room Services-Other OR services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $6,025.60 | $6,025.60 | $6,025.60 | |
Medica
| Facility | $3,715.35 | $3,715.35 | $3,715.35 |