| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.59 | $58.59 | $58.59 | |
United
| Professional | $77.68 | $83.23 | $353.07 |
Programming Dev Eval Icds W/Ss Eltrd In Person
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.59 | $58.59 | $58.59 | |
United
| Professional | $77.68 | $83.23 | $353.07 |