| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.46 | $1,397.00 | $4,478.00 | |
Cigna
| Facility | $4,967.35 | $4,967.35 | $4,967.35 | |
United
| Facility | $130.00 | $337.00 | $858.00 |
Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Ea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.46 | $1,397.00 | $4,478.00 | |
Cigna
| Facility | $4,967.35 | $4,967.35 | $4,967.35 | |
United
| Facility | $130.00 | $337.00 | $858.00 |