| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.58 | $130.37 | $1,200.00 | |
CareSource
| Facility | $91.35 | $110.00 | $151.44 | |
Cigna
| Facility | $146.47 | $146.47 | $146.47 |
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.58 | $130.37 | $1,200.00 | |
CareSource
| Facility | $91.35 | $110.00 | $151.44 | |
Cigna
| Facility | $146.47 | $146.47 | $146.47 |