| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $25.61 | $25.86 | $32.52 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |
Ffs - Not Available
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $25.61 | $25.86 | $32.52 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |