| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $107.15 | $162.18 | $302.00 | |
Cigna
| Facility | $141.25 | $190.55 | $371.54 |
Level 3 Health and Behavior Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $107.15 | $162.18 | $302.00 | |
Cigna
| Facility | $141.25 | $190.55 | $371.54 |
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