| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $484.66 | $605.83 | $847.18 | |
Medica
| Facility | $340.17 | $395.93 | $608.36 | |
Medica
| Professional | $1,611.85 | $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 | $484.66 | $605.83 | $847.18 | |
Medica
| Facility | $340.17 | $395.93 | $608.36 | |
Medica
| Professional | $1,611.85 | $1,611.85 | $1,611.85 |