| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $22.99 | $23.22 | $28.73 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 |
Hosp Outpt Clinic Spec Collect
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $22.99 | $23.22 | $28.73 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 |