| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $32.21 | $32.21 | $40.27 | |
Medcost
| Facility | $18.61 | $18.61 | $21.24 | |
Medcost
| Professional | $21.24 | $48.00 | $48.00 |
Fc Receptor
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $32.21 | $32.21 | $40.27 | |
Medcost
| Facility | $18.61 | $18.61 | $21.24 | |
Medcost
| Professional | $21.24 | $48.00 | $48.00 |