| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $22.13 | $22.13 | $27.66 | |
Horizon BCBS
| Professional | $17.73 | $17.73 | $17.73 |
Assay of gold
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $22.13 | $22.13 | $27.66 | |
Horizon BCBS
| Professional | $17.73 | $17.73 | $17.73 |