| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $107.15 | $151.36 | $223.87 | |
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 | $107.15 | $151.36 | $223.87 | |
Medica
| Professional | $1,778.28 | $1,778.28 | $1,778.28 |