| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $55.24 | $64.55 | $99.02 | |
Cigna
| Professional | $22.99 | $37.81 | $42.96 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Quartz
| Facility | $70.00 | $70.00 | $90.00 |
Hosp Outpt Clinic Spec Collect
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $55.24 | $64.55 | $99.02 | |
Cigna
| Professional | $22.99 | $37.81 | $42.96 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Quartz
| Facility | $70.00 | $70.00 | $90.00 |