| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $209.70 | $276.08 | $583.70 | |
Aetna
| Professional | $18.32 | $117.08 | $358.18 | |
Wellpoint
| Professional | $750.00 | $750.00 | $750.00 |
Unlisted Immunology
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $209.70 | $276.08 | $583.70 | |
Aetna
| Professional | $18.32 | $117.08 | $358.18 | |
Wellpoint
| Professional | $750.00 | $750.00 | $750.00 |