| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.37 | $24.61 | $30.95 | |
Medica
| Facility | $13.87 | $13.87 | $36.97 | |
Medica
| Professional | $21.62 | $21.62 | $21.62 |
Ffs - Not Available
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.37 | $24.61 | $30.95 | |
Medica
| Facility | $13.87 | $13.87 | $36.97 | |
Medica
| Professional | $21.62 | $21.62 | $21.62 |