| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $60.00 | $60.00 | $60.00 | |
Qualchoice
| Facility | $815.94 | $815.94 | $815.94 |
Clinic - Chronic Pain Center
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $60.00 | $60.00 | $60.00 | |
Qualchoice
| Facility | $815.94 | $815.94 | $815.94 |