| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $273.20 | $273.20 | $273.20 | |
Medica
| Facility | $197.01 | $232.90 | $627.45 | |
Medica
| Professional | $716.38 | $716.38 | $716.38 |
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| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $273.20 | $273.20 | $273.20 | |
Medica
| Facility | $197.01 | $232.90 | $627.45 | |
Medica
| Professional | $716.38 | $716.38 | $716.38 |