| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $515.05 | $515.05 | $515.05 | |
Cigna
| Professional | $407.32 | $515.05 | $643.82 | |
Medica
| Professional | $963.73 | $963.73 | $963.73 |
Respir Pthgn Mult Rev Trans&Amp Prb Tech 20 Trgt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $515.05 | $515.05 | $515.05 | |
Cigna
| Professional | $407.32 | $515.05 | $643.82 | |
Medica
| Professional | $963.73 | $963.73 | $963.73 |