| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $109,234.49 | $109,234.49 | $109,234.49 | |
Providence
| Facility | $43,126.55 | $43,126.55 | $109,234.49 |
Extensive O.R. procedure unrelated to principal diagnosis 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 | $109,234.49 | $109,234.49 | $109,234.49 | |
Providence
| Facility | $43,126.55 | $43,126.55 | $109,234.49 |