| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $350.54 | $409.63 | $628.38 | |
Cigna
| Professional | $264.44 | $370.05 | $420.51 | |
Quartz
| Facility | $164.03 | $164.03 | $535.26 |
Domicil/Rest Home New Pt Hi-Mod Sever 45 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $350.54 | $409.63 | $628.38 | |
Cigna
| Professional | $264.44 | $370.05 | $420.51 | |
Quartz
| Facility | $164.03 | $164.03 | $535.26 |