| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $64,999.99 | $82,999.99 | $94,999.99 | |
Cigna
| Facility | $867.57 | $867.57 | $867.57 | |
Providence
| Facility | $867.57 | $867.57 | $867.57 |
Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $64,999.99 | $82,999.99 | $94,999.99 | |
Cigna
| Facility | $867.57 | $867.57 | $867.57 | |
Providence
| Facility | $867.57 | $867.57 | $867.57 |