| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $806.82 | $806.82 | $806.82 | |
Priority Health
| Facility | $806.82 | $806.82 | $806.82 |
Level 3 Pathology
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $806.82 | $806.82 | $806.82 | |
Priority Health
| Facility | $806.82 | $806.82 | $806.82 |