| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $73.09 | $73.09 | $91.92 | |
Medica
| Facility | $603.90 | $603.90 | $603.90 | |
Medica
| Professional | $295.68 | $295.68 | $295.68 |
Puraply or puraply am
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $73.09 | $73.09 | $91.92 | |
Medica
| Facility | $603.90 | $603.90 | $603.90 | |
Medica
| Professional | $295.68 | $295.68 | $295.68 |