| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $255.94 | $275.67 | $405.12 |
Cigna
| Facility | 26 | $280.45 | $280.45 | $280.45 |
Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $255.94 | $275.67 | $405.12 |
Cigna
| Facility | 26 | $280.45 | $280.45 | $280.45 |
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