| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $18.55 | $55.12 | $142.63 | |
Cigna
| Professional | $165.52 | $173.71 | $208.13 | |
Molina
| Professional | $30.00 | $30.00 | $40.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $18.55 | $55.12 | $142.63 | |
Cigna
| Professional | $165.52 | $173.71 | $208.13 | |
Molina
| Professional | $30.00 | $30.00 | $40.00 |