| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,250.88 | $1,250.88 | $1,250.88 | |
Providence
| Facility | $613.02 | $842.91 | $1,250.88 |
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn Prim Ea Tdn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,250.88 | $1,250.88 | $1,250.88 | |
Providence
| Facility | $613.02 | $842.91 | $1,250.88 |