| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $17.35 | $17.35 | $21.68 | |
Providence
| Professional | $15.60 | $15.60 | $15.60 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $17.35 | $17.35 | $21.68 | |
Providence
| Professional | $15.60 | $15.60 | $15.60 |