| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $205.88 | $205.88 | $205.88 | |
Priority Health
| Facility | $205.88 | $205.88 | $205.88 |
Level 2 Electronic Analysis of Devices
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $205.88 | $205.88 | $205.88 | |
Priority Health
| Facility | $205.88 | $205.88 | $205.88 |