| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $32.21 | $32.21 | $40.27 | |
Providence
| Facility | $18.28 | $28.68 | $40.15 | |
Providence
| Professional | $29.31 | $29.31 | $52.90 |
Ffs - Not Available
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $32.21 | $32.21 | $40.27 | |
Providence
| Facility | $18.28 | $28.68 | $40.15 | |
Providence
| Professional | $29.31 | $29.31 | $52.90 |