| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $443.25 | $443.25 | $443.25 | |
Providence
| Facility | $220.70 | $381.33 | $543.62 |
Prq Skel Fixj Fx Grt Toe Phlx/Phlg W/Manj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $443.25 | $443.25 | $443.25 | |
Providence
| Facility | $220.70 | $381.33 | $543.62 |