| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $433.10 | $492.77 | $590.40 | |
MVP Health Care
| Professional | $433.10 | $492.77 | $590.40 |
Prolonged Svc Outpatient Setting 1st Hour
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $433.10 | $492.77 | $590.40 | |
MVP Health Care
| Professional | $433.10 | $492.77 | $590.40 |