| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $107.13 | $107.13 | $107.13 | |
Medica
| Facility | $162.07 | $164.08 | $518.70 | |
Medica
| Professional | $510.52 | $510.52 | $510.52 |
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| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $107.13 | $107.13 | $107.13 | |
Medica
| Facility | $162.07 | $164.08 | $518.70 | |
Medica
| Professional | $510.52 | $510.52 | $510.52 |