| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $52.88 | $52.88 | $66.09 | |
Medica
| Facility | $116.67 | $116.67 | $116.67 | |
Medica
| Professional | $231.53 | $231.53 | $231.53 | |
Midlands
| Professional | $74.44 | $74.44 | $74.44 |
Prog Eval Inper Leadls Pm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $52.88 | $52.88 | $66.09 | |
Medica
| Facility | $116.67 | $116.67 | $116.67 | |
Medica
| Professional | $231.53 | $231.53 | $231.53 | |
Midlands
| Professional | $74.44 | $74.44 | $74.44 |