| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $549.41 | $549.41 | $658.26 | |
Medcost
| Facility | $450.91 | $450.91 | $1,032.58 | |
Medcost
| Professional | $532.00 | $892.80 | $1,082.18 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $549.41 | $549.41 | $658.26 | |
Medcost
| Facility | $450.91 | $450.91 | $1,032.58 | |
Medcost
| Professional | $532.00 | $892.80 | $1,082.18 |