| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $152.22 | $152.22 | $189.47 |
Cigna
| Facility | 26 | $168.51 | $196.92 | $317.62 |
Quartz
| Facility | 26 | $683.29 | $683.29 | $683.29 |
Programmed Stimj & Pacg After Iv Drug Nfs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $152.22 | $152.22 | $189.47 |
Cigna
| Facility | 26 | $168.51 | $196.92 | $317.62 |
Quartz
| Facility | 26 | $683.29 | $683.29 | $683.29 |