| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $195.54 | $228.51 | $350.54 | |
Cigna
| Professional | $147.52 | $205.59 | $233.63 | |
Quartz
| Facility | $92.20 | $92.20 | $294.30 |
Indiv Phys Supvj Home/Dom/R-Home Mo 15-29 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $195.54 | $228.51 | $350.54 | |
Cigna
| Professional | $147.52 | $205.59 | $233.63 | |
Quartz
| Facility | $92.20 | $92.20 | $294.30 |