| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $489.78 | $489.78 | $489.78 | |
Cigna
| Professional | $363.08 | $489.78 | $616.60 | |
Medica
| Professional | $870.96 | $870.96 | $870.96 |
Respir Pthgn Mult Rev Trans&Amp Prb Tech 14 Trgt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $489.78 | $489.78 | $489.78 | |
Cigna
| Professional | $363.08 | $489.78 | $616.60 | |
Medica
| Professional | $870.96 | $870.96 | $870.96 |