| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $17.35 | $17.35 | $21.68 | |
Medica
| Facility | $26.60 | $90.00 | $90.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $17.35 | $17.35 | $21.68 | |
Medica
| Facility | $26.60 | $90.00 | $90.00 |