| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $174.90 | $275.00 | $825.04 | |
Cigna
| Facility | $189.15 | $243.85 | $487.03 | |
Cigna
| Professional | $132.02 | $141.81 | $165.03 |
Indiv Phys Supvj Home/Dom/R-Home Mo 15-29 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $174.90 | $275.00 | $825.04 | |
Cigna
| Facility | $189.15 | $243.85 | $487.03 | |
Cigna
| Professional | $132.02 | $141.81 | $165.03 |
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