| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,120.00 | $5,120.00 | $6,763.00 | |
BCBS
| Facility | $77.40 | $1,544.00 | $2,753.00 | |
Cigna
| Facility | $6,500.00 | $6,500.00 | $6,500.00 |
Ungroupable
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,120.00 | $5,120.00 | $6,763.00 | |
BCBS
| Facility | $77.40 | $1,544.00 | $2,753.00 | |
Cigna
| Facility | $6,500.00 | $6,500.00 | $6,500.00 |
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