| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $92.00 | $2,500.00 | $3,340.03 | |
Health Alliance Plan
| Facility | $688.00 | $688.00 | $688.00 |
Specialty Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $92.00 | $2,500.00 | $3,340.03 | |
Health Alliance Plan
| Facility | $688.00 | $688.00 | $688.00 |