| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $47,208.91 | $47,208.91 | $47,208.91 | |
Providence
| Facility | $17,926.40 | $17,926.40 | $47,208.91 |
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 |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $47,208.91 | $47,208.91 | $47,208.91 | |
Providence
| Facility | $17,926.40 | $17,926.40 | $47,208.91 |