| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,303.98 | $1,303.98 | $1,303.98 | |
Providence
| Facility | $760.50 | $796.95 | $1,303.98 |
Expl Po Hemrrg Thrombosis/Infctj Xtr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,303.98 | $1,303.98 | $1,303.98 | |
Providence
| Facility | $760.50 | $796.95 | $1,303.98 |