| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $64.28 | $64.28 | $80.81 | |
Medica
| Facility | $197.84 | $198.19 | $198.19 | |
Medica
| Professional | $406.32 | $406.32 | $406.32 |
Auditor Evoke Potent Limit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $64.28 | $64.28 | $80.81 | |
Medica
| Facility | $197.84 | $198.19 | $198.19 | |
Medica
| Professional | $406.32 | $406.32 | $406.32 |