| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $40.40 | $40.40 | $40.40 | |
Medica
| Facility | $85.00 | $90.00 | $90.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $40.40 | $40.40 | $40.40 | |
Medica
| Facility | $85.00 | $90.00 | $90.00 |