| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $49,222.17 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $578.91 | $578.91 | $578.91 | |
Providence
| Facility | $578.91 | $578.91 | $578.91 |
Remvl Perm Pm Pls Gen W/Repl Plse Gen Mult Lead
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $49,222.17 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $578.91 | $578.91 | $578.91 | |
Providence
| Facility | $578.91 | $578.91 | $578.91 |