| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $32.21 | $32.21 | $40.27 | |
Medica
| Facility | $18.61 | $18.61 | $100.00 | |
Medica
| Professional | $24.17 | $29.55 | $59.92 |
Ffs - Not Available
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $32.21 | $32.21 | $40.27 | |
Medica
| Facility | $18.61 | $18.61 | $100.00 | |
Medica
| Professional | $24.17 | $29.55 | $59.92 |