| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $488.52 | $488.52 | $536.89 | |
Molina
| Professional | $45.00 | $45.00 | $65.00 |
Icm/Ilr Remote Tech Serv
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $488.52 | $488.52 | $536.89 | |
Molina
| Professional | $45.00 | $45.00 | $65.00 |