| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.07 | $124.07 | $1,400.00 | |
CareSource
| Facility | $127.38 | $145.46 | $158.47 | |
Cigna
| Facility | $136.38 | $136.38 | $136.38 | |
Cigna
| Facility | AS | $13.27 | $13.27 | $13.27 |
Moblj Splenic Flxr Pfrmd Conjunct W/Partial Colct
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.07 | $124.07 | $1,400.00 | |
CareSource
| Facility | $127.38 | $145.46 | $158.47 | |
Cigna
| Facility | $136.38 | $136.38 | $136.38 | |
Cigna
| Facility | AS | $13.27 | $13.27 | $13.27 |