| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $64,999.99 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $158.79 | $158.79 | $158.79 | |
Providence
| Facility | $89.72 | $118.02 | $224.98 |
Epidrm 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 | $158.79 | $158.79 | $158.79 | |
Providence
| Facility | $89.72 | $118.02 | $224.98 |