| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.00 | $229.00 | $318.00 | |
BCBS
| Facility | $378.19 | $573.79 | $1,006.11 | |
Medica
| Facility | $540.40 | $580.62 | $741.48 |
Rp Therapy Unlisted Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.00 | $229.00 | $318.00 | |
BCBS
| Facility | $378.19 | $573.79 | $1,006.11 | |
Medica
| Facility | $540.40 | $580.62 | $741.48 |