| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.02 | $1,074.00 | $3,109.00 | |
Cigna
| Facility | $1,620.03 | $1,620.03 | $1,620.03 | |
United
| Facility | $130.00 | $337.00 | $858.00 |
Fth/Gft Fr W/Dir Clsr Trnk Ea Addl 20 Sq Cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.02 | $1,074.00 | $3,109.00 | |
Cigna
| Facility | $1,620.03 | $1,620.03 | $1,620.03 | |
United
| Facility | $130.00 | $337.00 | $858.00 |