| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $890.00 | $1,922.00 | $15,642.00 |
Principal diagnosis invalid as discharge diagnosis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $890.00 | $1,922.00 | $15,642.00 |