| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,960.71 | $1,960.71 | $1,960.71 | |
Providence
| Facility | $968.06 | $1,331.08 | $1,960.71 |
Optx Prox Humrl Fx W/Int Fixj Rpr Tubrst Rplcmt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,960.71 | $1,960.71 | $1,960.71 | |
Providence
| Facility | $968.06 | $1,331.08 | $1,960.71 |