| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $586.71 | $702.95 | $846.37 | |
Medica
| Facility | $116.67 | $116.67 | $200.00 | |
Medica
| Professional | $228.13 | $228.13 | $228.13 |
Icm/Ilr Remote Tech Serv
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $586.71 | $702.95 | $846.37 | |
Medica
| Facility | $116.67 | $116.67 | $200.00 | |
Medica
| Professional | $228.13 | $228.13 | $228.13 |