| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $488.52 | $668.37 | $846.37 | |
Molina
| Professional | $40.00 | $50.00 | $50.00 |
Icm/Ilr Remote Tech Serv
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $488.52 | $668.37 | $846.37 | |
Molina
| Professional | $40.00 | $50.00 | $50.00 |