| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $77.70 | $1,544.00 | $6,194.00 | |
Cigna
| Facility | $6,500.00 | $6,500.00 | $6,500.00 | |
Providence
| Facility | $6,500.00 | $6,500.00 | $6,500.00 |
Principal diagnosis invalid as discharge diagnosis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $77.70 | $1,544.00 | $6,194.00 | |
Cigna
| Facility | $6,500.00 | $6,500.00 | $6,500.00 | |
Providence
| Facility | $6,500.00 | $6,500.00 | $6,500.00 |