| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $55.87 | $65.29 | $100.15 | |
Cigna
| Professional | $25.61 | $32.01 | $149.02 | |
Quartz
| Facility | $60.00 | $60.00 | $100.00 |
Ffs - Not Available
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $55.87 | $65.29 | $100.15 | |
Cigna
| Professional | $25.61 | $32.01 | $149.02 | |
Quartz
| Facility | $60.00 | $60.00 | $100.00 |