| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $357.06 | $357.06 | $357.06 | |
Medica
| Facility | $432.97 | $432.97 | $519.55 | |
Medica
| Professional | $1,045.09 | $1,045.09 | $1,045.09 |
Respir Pthgn Mult Rev Trans&Amp Prb Tech 21 Trgt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $357.06 | $357.06 | $357.06 | |
Medica
| Facility | $432.97 | $432.97 | $519.55 | |
Medica
| Professional | $1,045.09 | $1,045.09 | $1,045.09 |