| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $23.63 | $23.63 | $29.53 | |
Medcost
| Professional | $23.52 | $23.52 | $23.52 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Ethchlorvynol
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $23.63 | $23.63 | $29.53 | |
Medcost
| Professional | $23.52 | $23.52 | $23.52 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |