| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $84,478.74 | $84,478.74 | $84,478.74 | |
Providence
| Facility | $28,902.49 | $28,902.49 | $84,478.74 |
O.R. proc w diagnoses of other contact w health services 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 | $84,478.74 | $84,478.74 | $84,478.74 | |
Providence
| Facility | $28,902.49 | $28,902.49 | $84,478.74 |