| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $706.42 | $706.42 | $846.37 | |
Molina
| Professional | $30.00 | $36.07 | $60.00 |
Icm/Ilr Remote Tech Serv
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $706.42 | $706.42 | $846.37 | |
Molina
| Professional | $30.00 | $36.07 | $60.00 |