| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $113.35 | $113.35 | $130.35 | |
Cigna
| Professional | $72.38 | $73.09 | $90.47 |
Puraply Or Puraply Am
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $113.35 | $113.35 | $130.35 | |
Cigna
| Professional | $72.38 | $73.09 | $90.47 |