| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $863.93 | $906.70 | $1,086.33 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Medica
| Professional | $2,849.18 | $2,849.18 | $2,849.18 |
Ko Single Upright Pre Ots
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $863.93 | $906.70 | $1,086.33 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Medica
| Professional | $2,849.18 | $2,849.18 | $2,849.18 |