| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $851.14 | $851.14 | $1,071.52 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |
Ko single upright pre ots
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $851.14 | $851.14 | $1,071.52 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |