| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $44.67 | $100.00 | $218.78 |
New Outpt L1 Prob Foc H&E Strtfwd
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $44.67 | $100.00 | $218.78 |