| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $708.09 | $1,074.45 | $2,300.00 | |
CareSource
| Facility | $757.84 | $832.08 | $906.57 | |
Cigna
| Facility | $833.63 | $833.63 | $833.63 |
Rcnstj Coltrl Ligm Iphal Jt 1 W/Grf Ea Jt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $708.09 | $1,074.45 | $2,300.00 | |
CareSource
| Facility | $757.84 | $832.08 | $906.57 | |
Cigna
| Facility | $833.63 | $833.63 | $833.63 |