| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,076.03 | $1,076.03 | $1,289.21 | |
Medica
| Facility | $1,306.04 | $1,967.58 | $1,967.58 | |
Medica
| Professional | $6,008.06 | $6,008.06 | $6,008.06 |
Cor Ffr Cta Data Alys & Gnrj Estimated Ffr Model
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,076.03 | $1,076.03 | $1,289.21 | |
Medica
| Facility | $1,306.04 | $1,967.58 | $1,967.58 | |
Medica
| Professional | $6,008.06 | $6,008.06 | $6,008.06 |