| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $128.44 | $128.44 | $160.55 | |
United
| Professional | $47.05 | $47.05 | $112.02 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $128.44 | $128.44 | $160.55 | |
United
| Professional | $47.05 | $47.05 | $112.02 |