| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $110.92 | $110.92 | $110.92 |
Cigna
| Facility | 26 | $106.76 | $106.76 | $106.76 |
Health Alliance Plan
| Facility | 26 | $81.93 | $81.93 | $110.92 |
Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $110.92 | $110.92 | $110.92 |
Cigna
| Facility | 26 | $106.76 | $106.76 | $106.76 |
Health Alliance Plan
| Facility | 26 | $81.93 | $81.93 | $110.92 |