| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $261.67 | $993.00 | $2,010.00 | |
Cigna
| Facility | $10,477.79 | $10,477.79 | $10,477.79 | |
United
| Facility | $216.00 | $491.00 | $1,650.00 |
Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Ea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $261.67 | $993.00 | $2,010.00 | |
Cigna
| Facility | $10,477.79 | $10,477.79 | $10,477.79 | |
United
| Facility | $216.00 | $491.00 | $1,650.00 |