| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $43.25 | $50.55 | $77.54 | |
Cigna
| Professional | $18.00 | $18.54 | $22.50 | |
Quartz
| Facility | $60.00 | $60.00 | $90.00 |
Drug confirmation, each procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $43.25 | $50.55 | $77.54 | |
Cigna
| Professional | $18.00 | $18.54 | $22.50 | |
Quartz
| Facility | $60.00 | $60.00 | $90.00 |