| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $296.16 | $296.16 | $296.16 | |
Medica
| Facility | $359.34 | $359.34 | $431.21 | |
Medica
| Professional | $867.37 | $867.37 | $867.37 |
Respir Pthgn Mult Rev Trans&Amp Prb Tech 14 Trgt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $296.16 | $296.16 | $296.16 | |
Medica
| Facility | $359.34 | $359.34 | $431.21 | |
Medica
| Professional | $867.37 | $867.37 | $867.37 |