| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $302.00 | $407.38 | $524.81 | |
Providence
| Facility | $302.00 | $398.11 | $501.19 |
Level 2 Diagnostic Tests and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $302.00 | $407.38 | $524.81 | |
Providence
| Facility | $302.00 | $398.11 | $501.19 |