| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $672.68 | $672.68 | $672.68 | |
Priority Health
| Facility | $672.68 | $672.68 | $672.68 |
Level 3 Electronic Analysis of Devices
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $672.68 | $672.68 | $672.68 | |
Priority Health
| Facility | $672.68 | $672.68 | $672.68 |