| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $237.04 | $237.04 | $237.04 | |
Medica
| Facility | $98.81 | $472.54 | $560.51 |
Rp Therapy Unlisted Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $237.04 | $237.04 | $237.04 | |
Medica
| Facility | $98.81 | $472.54 | $560.51 |