| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,012.16 | $3,012.16 | $3,543.72 |
Thrmbc Prq Arven Fstl Autog/Nonautog Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,012.16 | $3,012.16 | $3,543.72 |