| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,682.31 | $3,682.31 | $5,405.80 | |
Medica
| Professional | $11,678.40 | $11,678.40 | $11,678.40 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,682.31 | $3,682.31 | $5,405.80 | |
Medica
| Professional | $11,678.40 | $11,678.40 | $11,678.40 |