| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $9.50 | $9.50 | $11.87 | |
Medcost
| Professional | $7.52 | $7.52 | $7.52 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $9.50 | $9.50 | $11.87 | |
Medcost
| Professional | $7.52 | $7.52 | $7.52 |