| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $12,372.50 | $40,000.00 | $47,500.00 | |
Cigna
| Facility | $16,770.02 | $16,770.02 | $16,770.02 | |
Providence
| Facility | $6,382.50 | $6,382.50 | $16,770.02 |
Sprains, strains, & dislocations of hip, pelvis & thigh w/o CC/MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $12,372.50 | $40,000.00 | $47,500.00 | |
Cigna
| Facility | $16,770.02 | $16,770.02 | $16,770.02 | |
Providence
| Facility | $6,382.50 | $6,382.50 | $16,770.02 |