| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,201.04 | $2,201.04 | $2,201.04 | |
Cigna
| Facility | $218.58 | $218.58 | $456.00 | |
Martin's Point
| Facility | $2,201.04 | $2,201.04 | $4,356.85 |
Dilat Rct Strix Spx Under Anes Oth/Thn Local
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,201.04 | $2,201.04 | $2,201.04 | |
Cigna
| Facility | $218.58 | $218.58 | $456.00 | |
Martin's Point
| Facility | $2,201.04 | $2,201.04 | $4,356.85 |