| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $270.50 | $338.12 | $465.38 | |
Medica
| Facility | $97.20 | $128.97 | $168.12 | |
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 | $270.50 | $338.12 | $465.38 | |
Medica
| Facility | $97.20 | $128.97 | $168.12 | |
Medica
| Professional | $716.38 | $716.38 | $716.38 |