| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,405.85 | $3,405.85 | $4,080.60 | |
Pacific Source
| Facility | $1,157.96 | $1,514.87 | $1,672.30 |
Tx Ectopic Pregnancy Ntrstl Req Tot Hyst
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,405.85 | $3,405.85 | $4,080.60 | |
Pacific Source
| Facility | $1,157.96 | $1,514.87 | $1,672.30 |