| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $115.87 | $115.87 | $115.87 | |
Medica
| Facility | $48.63 | $55.55 | $108.60 | |
Medica
| Professional | $318.20 | $318.20 | $318.20 |
Moderate Sedation Services (Ot
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $115.87 | $115.87 | $115.87 | |
Medica
| Facility | $48.63 | $55.55 | $108.60 | |
Medica
| Professional | $318.20 | $318.20 | $318.20 |