| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $32.21 | $32.54 | $40.90 | |
Medica
| Facility | $19.98 | $31.59 | $100.00 |
Ffs - Not Available
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $32.21 | $32.54 | $40.90 | |
Medica
| Facility | $19.98 | $31.59 | $100.00 |