| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $289.25 | $393.35 | $507.87 | |
Providence
| Facility | $289.25 | $393.35 | $692.86 |
Level 3 Electronic Analysis of Devices
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $289.25 | $393.35 | $507.87 | |
Providence
| Facility | $289.25 | $393.35 | $692.86 |