| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $273.94 | $320.12 | $491.07 | |
Cigna
| Professional | $206.66 | $286.33 | $325.39 | |
Quartz
| Facility | $129.16 | $129.16 | $413.70 |
Indiv Phys Supvj Home/Dom/R-Home Mo 30 Min/>
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $273.94 | $320.12 | $491.07 | |
Cigna
| Professional | $206.66 | $286.33 | $325.39 | |
Quartz
| Facility | $129.16 | $129.16 | $413.70 |