| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $232.10 | $232.10 | $232.10 | |
Hally Health
| Professional | $100.00 | $100.00 | $150.00 | |
Medica
| Facility | $0.02 | $0.02 | $100.00 |
Mccd, Risk Adj, Maintenance
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $232.10 | $232.10 | $232.10 | |
Hally Health
| Professional | $100.00 | $100.00 | $150.00 | |
Medica
| Facility | $0.02 | $0.02 | $100.00 |