| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $459.23 | $459.23 | $550.21 | |
Medica
| Facility | $631.69 | $894.54 | $894.54 | |
Medica
| Professional | $1,270.64 | $1,270.64 | $1,270.64 |
Gi Pthgn Mult Rev Trans&Amp Prb Tech 22 Trgt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $459.23 | $459.23 | $550.21 | |
Medica
| Facility | $631.69 | $894.54 | $894.54 | |
Medica
| Professional | $1,270.64 | $1,270.64 | $1,270.64 |