| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.47 | $5,982.00 | $10,871.00 | |
Cigna
| Facility | $16,700.16 | $19,158.88 | $21,611.98 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |
Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Ea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.47 | $5,982.00 | $10,871.00 | |
Cigna
| Facility | $16,700.16 | $19,158.88 | $21,611.98 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |