| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $173.71 | $173.71 | $208.13 | |
Medica
| Facility | $112.57 | $182.22 | $328.05 | |
Medica
| Professional | $66.69 | $149.76 | $710.30 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $173.71 | $173.71 | $208.13 | |
Medica
| Facility | $112.57 | $182.22 | $328.05 | |
Medica
| Professional | $66.69 | $149.76 | $710.30 |