| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.00 | $307.00 | $307.00 | |
Cigna
| Facility | $123.89 | $448.56 | $622.78 | |
Molina
| Professional | $50.00 | $50.00 | $50.00 | |
United
| Facility | $534.15 | $534.15 | $534.15 |
Rp Therapy Unlisted Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.00 | $307.00 | $307.00 | |
Cigna
| Facility | $123.89 | $448.56 | $622.78 | |
Molina
| Professional | $50.00 | $50.00 | $50.00 | |
United
| Facility | $534.15 | $534.15 | $534.15 |