| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $39.25 | $39.25 | $54.74 |
Cigna
| Facility | 26 | $68.48 | $77.81 | $122.77 |
Quartz
| Facility | 26 | $119.85 | $119.85 | $119.85 |
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $39.25 | $39.25 | $54.74 |
Cigna
| Facility | 26 | $68.48 | $77.81 | $122.77 |
Quartz
| Facility | 26 | $119.85 | $119.85 | $119.85 |