| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $45.06 | $52.65 | $80.77 | |
Cigna
| Professional | $18.75 | $19.30 | $23.44 | |
Quartz
| Facility | $60.00 | $60.00 | $90.00 |
Dimethadione
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $45.06 | $52.65 | $80.77 | |
Cigna
| Professional | $18.75 | $19.30 | $23.44 | |
Quartz
| Facility | $60.00 | $60.00 | $90.00 |