| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $163.88 | $163.88 | $240.58 | |
Medica
| Facility | $129.96 | $186.16 | $227.48 | |
Medica
| Professional | $66.69 | $269.94 | $710.30 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $163.88 | $163.88 | $240.58 | |
Medica
| Facility | $129.96 | $186.16 | $227.48 | |
Medica
| Professional | $66.69 | $269.94 | $710.30 |