| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $30.45 | $372.25 | $1,623.16 | |
Cigna
| Facility | $68.25 | $68.25 | $68.25 |
Clinic-Family Practice Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $30.45 | $372.25 | $1,623.16 | |
Cigna
| Facility | $68.25 | $68.25 | $68.25 |