| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $210.93 | $210.93 | $231.81 | |
Medica
| Facility | $55.00 | $55.00 | $220.38 | |
Medica
| Professional | $1,793.57 | $1,793.57 | $1,793.57 |
Iv Us Non-C Vsl Dx Eval&/Ther Ivntj Ea Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $210.93 | $210.93 | $231.81 | |
Medica
| Facility | $55.00 | $55.00 | $220.38 | |
Medica
| Professional | $1,793.57 | $1,793.57 | $1,793.57 |