| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,907.32 | $1,907.32 | $2,096.16 | |
Molina
| Professional | $1,243.21 | $1,243.21 | $1,358.89 |
With Manipulation, Requiring Mor Than Local Anesthesia
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,907.32 | $1,907.32 | $2,096.16 | |
Molina
| Professional | $1,243.21 | $1,243.21 | $1,358.89 |