| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $31,095.44 | $31,095.44 | $31,095.44 | |
Providence
| Facility | $12,291.70 | $12,291.70 | $31,095.44 |
Misc disorders of nutrition, metabolism, fluids/electrolytes w MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $31,095.44 | $31,095.44 | $31,095.44 | |
Providence
| Facility | $12,291.70 | $12,291.70 | $31,095.44 |