| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $784.00 | $1,775.95 | $4,657.34 | |
Cigna
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
United
| Facility | $650.00 | $1,467.00 | $5,253.00 |
Vcrpec Transprtl/Rpr Dcmprn Thrc Lmbr/Sac 1 Seg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $784.00 | $1,775.95 | $4,657.34 | |
Cigna
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
United
| Facility | $650.00 | $1,467.00 | $5,253.00 |