| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $53.63 | $54.16 | $67.03 | |
Medica
| Facility | $105.12 | $105.12 | $128.54 | |
Medica
| Professional | $251.34 | $251.34 | $251.34 |
Rec Ftl Car Sgl 3 Ch Review I&R
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $53.63 | $54.16 | $67.03 | |
Medica
| Facility | $105.12 | $105.12 | $128.54 | |
Medica
| Professional | $251.34 | $251.34 | $251.34 |