| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,767.20 | $2,767.20 | $2,767.20 | |
United
| Facility | $4,200.00 | $4,200.00 | $14,634.00 |
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| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,767.20 | $2,767.20 | $2,767.20 | |
United
| Facility | $4,200.00 | $4,200.00 | $14,634.00 |