| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $44.67 | $72.44 | $117.49 | |
Medica
| Facility | $89.13 | $89.13 | $177.83 | |
Medica
| Professional | $131.83 | $204.17 | $204.17 |
New Outpt L1 Prob Foc H&E Strtfwd
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $44.67 | $72.44 | $117.49 | |
Medica
| Facility | $89.13 | $89.13 | $177.83 | |
Medica
| Professional | $131.83 | $204.17 | $204.17 |