| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.76 | $120.76 | $120.76 | |
United
| Professional | $62.01 | $76.31 | $111.62 |
Introgation Dev Eval Cartd Sins Barreflx W/Prgrm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.76 | $120.76 | $120.76 | |
United
| Professional | $62.01 | $76.31 | $111.62 |