| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30,199.52 | $30,199.52 | $30,199.52 | |
Cigna
| Facility | $39,810.72 | $39,810.72 | $39,810.72 | |
Highmark BCBS
| Facility | $39,810.72 | $39,810.72 | $39,810.72 |
O.R. proc w diagnoses of other contact w health services w/o CC/MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30,199.52 | $30,199.52 | $30,199.52 | |
Cigna
| Facility | $39,810.72 | $39,810.72 | $39,810.72 | |
Highmark BCBS
| Facility | $39,810.72 | $39,810.72 | $39,810.72 |