| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $127.04 | $127.04 | $144.36 | |
Quartz
| Facility | $251.46 | $251.46 | $251.46 |
Njx Tfrml Eprl W/Us Cer/Tho
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $127.04 | $127.04 | $144.36 | |
Quartz
| Facility | $251.46 | $251.46 | $251.46 |