| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $210.93 | $210.93 | $231.81 | |
Oscar Health
| Professional | $107.00 | $107.00 | $145.69 | |
Priority Health
| Professional | $210.93 | $288.58 | $365.44 |
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 | |
Oscar Health
| Professional | $107.00 | $107.00 | $145.69 | |
Priority Health
| Professional | $210.93 | $288.58 | $365.44 |