| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.74 | $1,289.47 | $1,600.00 | |
CareSource
| Facility | $101.29 | $111.32 | $121.28 | |
Cigna
| Facility | $162.41 | $162.41 | $162.41 |
Photopheresis, extracorporeal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.74 | $1,289.47 | $1,600.00 | |
CareSource
| Facility | $101.29 | $111.32 | $121.28 | |
Cigna
| Facility | $162.41 | $162.41 | $162.41 |