| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $198.74 | $210.06 | $251.67 |
Indic Dil Std Artl&/Or Ven Cathj Sbsq Outp Mea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $198.74 | $210.06 | $251.67 |