| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $433.24 | $433.24 | $541.54 |
Gi Pthgn Mult Rev Trans&Amp Prb Tech 22 Trgt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $433.24 | $433.24 | $541.54 |