| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $710.65 | $710.65 | $710.65 | |
Medcost
| Facility | $654.00 | $882.40 | $1,241.23 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
With Manipulation, Requiring Mor Than Local Anesthesia
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $710.65 | $710.65 | $710.65 | |
Medcost
| Facility | $654.00 | $882.40 | $1,241.23 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |