| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $337.35 | $337.35 | $2,241.23 | |
MVP Health Care
| Professional | $337.35 | $337.35 | $2,241.23 |
Thrmbc Prq Arven Fstl Autog/Nonautog Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $337.35 | $337.35 | $2,241.23 | |
MVP Health Care
| Professional | $337.35 | $337.35 | $2,241.23 |