| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $15,931.20 | $15,931.20 | $15,931.20 | |
United
| Facility | $4,200.00 | $4,200.00 | $14,634.00 |
App Mltpln Uni Xtrnl Fix Strtctc Adjmt 1st&Subsq
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $15,931.20 | $15,931.20 | $15,931.20 | |
United
| Facility | $4,200.00 | $4,200.00 | $14,634.00 |