| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $403.38 | $9,859.00 | |
Cigna
| Facility | $115.81 | $115.81 | $115.81 | |
Cigna
| Facility | AS | $11.30 | $11.30 | $11.30 |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |
Tr/Trnspl 1 Tdn W/Musc Redirion/Rerouting Ea Tdn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $403.38 | $9,859.00 | |
Cigna
| Facility | $115.81 | $115.81 | $115.81 | |
Cigna
| Facility | AS | $11.30 | $11.30 | $11.30 |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |