| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $162.18 | $2,137.96 | $4,073.80 | |
Cigna
| Facility | $501.19 | $501.19 | $501.19 |
Medical/Surgical Supplies Extension of 027X-Supplies Incident to Other DX Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $162.18 | $2,137.96 | $4,073.80 | |
Cigna
| Facility | $501.19 | $501.19 | $501.19 |
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