| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $30,804.41 | $30,804.41 | $30,804.41 | |
Providence
| Facility | $12,073.01 | $12,073.01 | $30,804.41 |
Other Disorders Of The Eye With Mcc Or Thrombolytic Agent
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $30,804.41 | $30,804.41 | $30,804.41 | |
Providence
| Facility | $12,073.01 | $12,073.01 | $30,804.41 |