| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $146.38 | $146.38 | $184.08 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Iv Us Non-C Vsl Dx Eval&/Ther Ivntj Ea Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $146.38 | $146.38 | $184.08 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |