| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $43,500.00 | $135,318.00 | |
Cigna
| Facility | $138,832.89 | $138,832.89 | $138,832.89 | |
Providence
| Facility | $51,988.56 | $51,988.56 | $138,832.89 |
No Longer Valid
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $43,500.00 | $135,318.00 | |
Cigna
| Facility | $138,832.89 | $138,832.89 | $138,832.89 | |
Providence
| Facility | $51,988.56 | $51,988.56 | $138,832.89 |