| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.74 | $53.74 | $53.74 | |
Cigna
| Facility | $507.00 | $507.00 | $518.54 | |
Kaiser Permanente
| Professional | $105.20 | $136.75 | $201.33 | |
United
| Facility | $36.00 | $36.00 | $41.00 |
Tr/Trnspl 1 Tdn W/Musc Redirion/Rerouting Ea Tdn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.74 | $53.74 | $53.74 | |
Cigna
| Facility | $507.00 | $507.00 | $518.54 | |
Kaiser Permanente
| Professional | $105.20 | $136.75 | $201.33 | |
United
| Facility | $36.00 | $36.00 | $41.00 |