| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $67.06 | $83.51 | $85.18 | |
Medica
| Facility | $52.88 | $85.22 | $293.31 | |
Medica
| Professional | $803.55 | $803.55 | $803.55 |
Medic-Physical Medic-Rehabilit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $67.06 | $83.51 | $85.18 | |
Medica
| Facility | $52.88 | $85.22 | $293.31 | |
Medica
| Professional | $803.55 | $803.55 | $803.55 |