| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $17.35 | $17.35 | $21.68 | |
Medcost
| Professional | $9.94 | $9.94 | $9.94 | |
Wellcare
| Facility | $85.00 | $90.00 | $90.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $17.35 | $17.35 | $21.68 | |
Medcost
| Professional | $9.94 | $9.94 | $9.94 | |
Wellcare
| Facility | $85.00 | $90.00 | $90.00 |