| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $162.18 | $2,137.96 | $4,073.80 | |
Cigna
| Facility | $281.84 | $346.74 | $12,302.69 |
Special Charges-Other Special Charges
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $162.18 | $2,137.96 | $4,073.80 | |
Cigna
| Facility | $281.84 | $346.74 | $12,302.69 |
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