| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $350.92 | $350.92 | $350.92 | |
Priority Health
| Facility | $350.92 | $350.92 | $350.92 |
Level 1 Diagnostic Tests and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $350.92 | $350.92 | $350.92 | |
Priority Health
| Facility | $350.92 | $350.92 | $350.92 |