| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $74.13 | $74.13 | $74.13 | |
Cigna
| Professional | $15.85 | $15.85 | $19.50 | |
United
| Professional | $7.76 | $14.45 | $37.15 |
Alcohols
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $74.13 | $74.13 | $74.13 | |
Cigna
| Professional | $15.85 | $15.85 | $19.50 | |
United
| Professional | $7.76 | $14.45 | $37.15 |