| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.25 | $70.25 | $70.25 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Facility | $228.24 | $497.80 | $600.46 | |
Cigna
| Professional | $434.96 | $434.96 | $434.96 |
Rp Therapy Unlisted Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.25 | $70.25 | $70.25 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Facility | $228.24 | $497.80 | $600.46 | |
Cigna
| Professional | $434.96 | $434.96 | $434.96 |