| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $23.43 | $27.38 | $42.00 | |
Cigna
| Professional | $9.75 | $10.03 | $12.19 | |
Quartz
| Facility | $60.00 | $60.00 | $90.00 |
Salicylate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $23.43 | $27.38 | $42.00 | |
Cigna
| Professional | $9.75 | $10.03 | $12.19 | |
Quartz
| Facility | $60.00 | $60.00 | $90.00 |