| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,903.25 | $3,903.25 | $4,676.53 | |
Medcost
| Facility | $2,919.60 | $2,919.60 | $6,685.88 | |
Medcost
| Professional | $4,335.78 | $5,109.30 | $7,007.04 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,903.25 | $3,903.25 | $4,676.53 | |
Medcost
| Facility | $2,919.60 | $2,919.60 | $6,685.88 | |
Medcost
| Professional | $4,335.78 | $5,109.30 | $7,007.04 |