| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $39,905.35 | $39,905.35 | $39,905.35 | |
Providence
| Facility | $15,351.60 | $15,351.60 | $39,905.35 |
Extensive O.R. Procedures Unrelated To Principal Diagnosis Without 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 | $39,905.35 | $39,905.35 | $39,905.35 | |
Providence
| Facility | $15,351.60 | $15,351.60 | $39,905.35 |