| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.47 | $31.19 | $44.14 |
Cigna
| Facility | 26 | $30.17 | $30.17 | $30.17 |
Medcost
| Facility | 26 | $35.93 | $41.54 | $100.49 |
Wellcare
| Facility | 26 | $62.14 | $85.90 | $127.44 |
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.47 | $31.19 | $44.14 |
Cigna
| Facility | 26 | $30.17 | $30.17 | $30.17 |
Medcost
| Facility | 26 | $35.93 | $41.54 | $100.49 |
Wellcare
| Facility | 26 | $62.14 | $85.90 | $127.44 |