| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $430.50 | $430.50 | $538.13 | |
Medica
| Facility | $16,175.90 | $16,175.90 | $16,175.90 | |
Medica
| Professional | $1,767.29 | $1,767.29 | $1,767.29 |
Revj/Rplmnt Ch Wal Respir Eltrd & Conj Pulse Gen
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $430.50 | $430.50 | $538.13 | |
Medica
| Facility | $16,175.90 | $16,175.90 | $16,175.90 | |
Medica
| Professional | $1,767.29 | $1,767.29 | $1,767.29 |