| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $407.16 | $407.16 | $487.83 | |
Horizon BCBS
| Professional | $126.51 | $200.10 | $264.22 |
Iv Us Non-C Vsl Dx Eval&/Ther Ivntj 1St Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $407.16 | $407.16 | $487.83 | |
Horizon BCBS
| Professional | $126.51 | $200.10 | $264.22 |