| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $304.58 | $355.92 | $546.00 | |
Cigna
| Professional | $126.75 | $158.44 | $218.75 | |
Medica
| Facility | $165.92 | $165.92 | $165.92 | |
Quartz
| Facility | $137.32 | $137.32 | $165.92 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $304.58 | $355.92 | $546.00 | |
Cigna
| Professional | $126.75 | $158.44 | $218.75 | |
Medica
| Facility | $165.92 | $165.92 | $165.92 | |
Quartz
| Facility | $137.32 | $137.32 | $165.92 |