| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $489.51 | $950.18 | $1,044.26 | |
Medica
| Facility | $104.47 | $372.92 | $705.99 | |
Medica
| Professional | $664.00 | $1,611.85 | $1,611.85 |
Rad S&I Perq Vrtpls/Sacrplsty Per Vrt Body Ct
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $489.51 | $950.18 | $1,044.26 | |
Medica
| Facility | $104.47 | $372.92 | $705.99 | |
Medica
| Professional | $664.00 | $1,611.85 | $1,611.85 |