| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $0.05 | $0.09 | $0.10 | |
Cigna
| Professional | $0.04 | $0.04 | $0.05 | |
Quartz
| Facility | $85.00 | $85.00 | $85.00 |
Ffs - Not Available
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $0.05 | $0.09 | $0.10 | |
Cigna
| Professional | $0.04 | $0.04 | $0.05 | |
Quartz
| Facility | $85.00 | $85.00 | $85.00 |