| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $512.86 | $691.83 | $891.25 | |
Providence
| Facility | $512.86 | $630.96 | $851.14 |
Level 3 Diagnostic Tests and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $512.86 | $691.83 | $891.25 | |
Providence
| Facility | $512.86 | $630.96 | $851.14 |