| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $88.53 | $120.39 | $155.44 | |
Providence
| Facility | $88.53 | $120.39 | $212.06 |
Level 2 Electronic Analysis of Devices
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $88.53 | $120.39 | $155.44 | |
Providence
| Facility | $88.53 | $120.39 | $212.06 |