| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $27,919.77 | $27,919.77 | $27,919.77 | |
Providence
| Facility | $10,737.46 | $10,737.46 | $27,919.77 |
Non-Extensive OR 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 | $27,919.77 | $27,919.77 | $27,919.77 | |
Providence
| Facility | $10,737.46 | $10,737.46 | $27,919.77 |