| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $236.53 | $236.53 | $268.79 | |
Health Alliance Plan
| Facility | $277.29 | $277.29 | $277.29 | |
Health Alliance Plan
| Professional | $277.29 | $277.29 | $336.76 |
Rec Ftl Car Sgl 3 Ch Pt Rec & Strg Data Scn I&R
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $236.53 | $236.53 | $268.79 | |
Health Alliance Plan
| Facility | $277.29 | $277.29 | $277.29 | |
Health Alliance Plan
| Professional | $277.29 | $277.29 | $336.76 |