| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $299.68 | $299.68 | $299.68 | |
Aetna
| Professional | $299.68 | $299.68 | $299.68 | |
Cigna
| Facility | $375.49 | $738.51 | $896.90 | |
Medica
| Facility | $598.21 | $706.29 | $1,445.26 |
Rp Therapy Unlisted Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $299.68 | $299.68 | $299.68 | |
Aetna
| Professional | $299.68 | $299.68 | $299.68 | |
Cigna
| Facility | $375.49 | $738.51 | $896.90 | |
Medica
| Facility | $598.21 | $706.29 | $1,445.26 |