| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $138.04 | $234.42 | $363.08 | |
Medica
| Facility | $54.95 | $54.95 | $3,162.28 | |
Medica
| Professional | $1,778.28 | $1,778.28 | $1,778.28 |
Iv Us Non-C Vsl Dx Eval&/Ther Ivntj Ea Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $138.04 | $234.42 | $363.08 | |
Medica
| Facility | $54.95 | $54.95 | $3,162.28 | |
Medica
| Professional | $1,778.28 | $1,778.28 | $1,778.28 |