| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Providence
| Facility | $567.55 | $780.40 | $1,358.61 |
Tr/Trnspl Tdn Carp/Mtcrpl Hand W/O Fr Grf Ea Tdn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Providence
| Facility | $567.55 | $780.40 | $1,358.61 |