| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $126.08 | $126.08 | $126.08 |
Cigna
| Facility | 26 | $111.04 | $111.04 | $111.04 |
Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $126.08 | $126.08 | $126.08 |
Cigna
| Facility | 26 | $111.04 | $111.04 | $111.04 |