| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $798.75 | $798.75 | $998.44 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Midlands
| Professional | $1,155.93 | $1,155.93 | $1,155.93 |
Ko double upright pre ots
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $798.75 | $798.75 | $998.44 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Midlands
| Professional | $1,155.93 | $1,155.93 | $1,155.93 |