| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $12.00 | $18.00 | $45.00 | |
Cigna
| Facility | $500.00 | $500.00 | $500.00 | |
Providence
| Facility | $500.00 | $500.00 | $500.00 |
Medical Surgical Supplies-Supplies
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $12.00 | $18.00 | $45.00 | |
Cigna
| Facility | $500.00 | $500.00 | $500.00 | |
Providence
| Facility | $500.00 | $500.00 | $500.00 |