| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $150.90 | $205.20 | $264.94 | |
Providence
| Facility | $150.90 | $205.20 | $361.45 |
Level 1 Diagnostic Tests and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $150.90 | $205.20 | $264.94 | |
Providence
| Facility | $150.90 | $205.20 | $361.45 |