| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $103.32 | $103.32 | $143.46 |
Cigna
| Facility | 26 | $180.22 | $204.80 | $323.08 |
Quartz
| Facility | 26 | $328.17 | $328.17 | $328.17 |
Card Bl Pool Plnr Mlt Stdy Wal Motn Eject Fract
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $103.32 | $103.32 | $143.46 |
Cigna
| Facility | 26 | $180.22 | $204.80 | $323.08 |
Quartz
| Facility | 26 | $328.17 | $328.17 | $328.17 |