| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $7.62 | $7.62 | $7.62 | |
Medcost
| Facility | $49.00 | $49.00 | $70.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Mccd,maintenance rate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $7.62 | $7.62 | $7.62 | |
Medcost
| Facility | $49.00 | $49.00 | $70.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |