| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $9.50 | $9.50 | $11.87 | |
Medica
| Facility | $13.08 | $90.00 | $90.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $9.50 | $9.50 | $11.87 | |
Medica
| Facility | $13.08 | $90.00 | $90.00 |