| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $27.62 | $78.01 | |
Cigna
| Professional | $22.86 | $33.59 | $34.04 | |
United
| Professional | $14.44 | $22.97 | $33.99 |
Im Adm Thru 18yr Any Rte 1st/Only Compt Vac/Tox
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $27.62 | $78.01 | |
Cigna
| Professional | $22.86 | $33.59 | $34.04 | |
United
| Professional | $14.44 | $22.97 | $33.99 |