| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.63 | $172.63 | $1,400.00 | |
CareSource
| Facility | $173.20 | $196.94 | $214.58 | |
Cigna
| Facility | $186.43 | $186.43 | $186.43 |
Repositioning Perq R/L Vad W/Img Gdn Sep Insj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.63 | $172.63 | $1,400.00 | |
CareSource
| Facility | $173.20 | $196.94 | $214.58 | |
Cigna
| Facility | $186.43 | $186.43 | $186.43 |