| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.75 | $2,877.00 | $7,278.00 | |
BCBS
| Facility | $2,088.00 | $4,542.00 | $9,794.50 | |
Cigna
| Facility | $88.74 | $88.74 | $88.74 | |
United
| Facility | $367.00 | $1,189.50 | $2,726.50 |
Slctv Cathj Ea 2nd+ Ord Thrc/Brch/Cphlc Brnch
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.75 | $2,877.00 | $7,278.00 | |
BCBS
| Facility | $2,088.00 | $4,542.00 | $9,794.50 | |
Cigna
| Facility | $88.74 | $88.74 | $88.74 | |
United
| Facility | $367.00 | $1,189.50 | $2,726.50 |
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