| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $446.68 | $602.56 | $776.25 | |
Providence
| Facility | $446.68 | $602.56 | $1,122.02 |
Plt, pher, l/r cmv-neg, irr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $446.68 | $602.56 | $776.25 | |
Providence
| Facility | $446.68 | $602.56 | $1,122.02 |