| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $305.01 | $305.01 | $365.44 | |
Horizon BCBS
| Professional | $95.24 | $142.87 | $218.79 |
Iv Us Non-C Vsl Dx Eval&/Ther Ivntj Ea Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $305.01 | $305.01 | $365.44 | |
Horizon BCBS
| Professional | $95.24 | $142.87 | $218.79 |