| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $54.79 | $54.79 | $92.49 |
Cigna
| Facility | 26 | $62.21 | $62.21 | $62.21 |
Medcost
| Facility | 26 | $64.63 | $79.00 | $105.00 |
Wellcare
| Facility | 26 | $128.65 | $177.00 | $266.76 |
Ergonovine Provocation Tst
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $54.79 | $54.79 | $92.49 |
Cigna
| Facility | 26 | $62.21 | $62.21 | $62.21 |
Medcost
| Facility | 26 | $64.63 | $79.00 | $105.00 |
Wellcare
| Facility | 26 | $128.65 | $177.00 | $266.76 |