| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.38 | $1,181.00 | $3,109.00 | |
Cigna
| Facility | $2,414.94 | $2,414.94 | $2,414.94 | |
United
| Facility | $130.00 | $337.00 | $858.00 |
Split Agrft T/A/L Ea 100 Cm/Ea 1% Bdy Inft/Chld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.38 | $1,181.00 | $3,109.00 | |
Cigna
| Facility | $2,414.94 | $2,414.94 | $2,414.94 | |
United
| Facility | $130.00 | $337.00 | $858.00 |