| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $698.44 | $698.44 | $698.44 | |
Priority Health
| Facility | $698.44 | $698.44 | $698.44 |
Level 2 Diagnostic Tests and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $698.44 | $698.44 | $698.44 | |
Priority Health
| Facility | $698.44 | $698.44 | $698.44 |