| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $371.54 | $371.54 | $446.68 | |
Lucent Health
| Facility | $724.44 | $724.44 | $724.44 | |
Lucent Health
| Professional | $1,348.96 | $1,348.96 | $1,348.96 |
Respir Pthgn Mult Rev Trans&Amp Prb Tech 21 Trgt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $371.54 | $371.54 | $446.68 | |
Lucent Health
| Facility | $724.44 | $724.44 | $724.44 | |
Lucent Health
| Professional | $1,348.96 | $1,348.96 | $1,348.96 |