| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $138.04 | $173.78 | $416.87 | |
Medica
| Professional | $281.84 | $616.60 | $616.60 | |
Sanford Health Plan
| Professional | $75.86 | $169.82 | $169.82 |
Eustachian Tube Nfltj Transnsl Cathj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $138.04 | $173.78 | $416.87 | |
Medica
| Professional | $281.84 | $616.60 | $616.60 | |
Sanford Health Plan
| Professional | $75.86 | $169.82 | $169.82 |