| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $128.13 | $128.13 | $161.13 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Us Study Follow Up
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $128.13 | $128.13 | $161.13 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |