| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $64,999.99 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $173.51 | $173.51 | $173.51 | |
Providence
| Facility | $99.01 | $173.51 | $311.35 |
Split Agrft T/A/L Ea 100 Cm/Ea 1% Bdy Inft/Chld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $64,999.99 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $173.51 | $173.51 | $173.51 | |
Providence
| Facility | $99.01 | $173.51 | $311.35 |