| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $32.36 | $32.36 | $39.81 | |
Medcost
| Facility | $14.13 | $30.90 | $52.48 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |
Fc Receptor
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $32.36 | $32.36 | $39.81 | |
Medcost
| Facility | $14.13 | $30.90 | $52.48 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |