| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.79 | $22.93 | $133.81 | |
Cigna
| Professional | $23.23 | $35.19 | $76.81 | |
Providence
| Professional | $25.04 | $43.07 | $62.25 | |
United
| Professional | $32.40 | $39.22 | $46.19 |
Manj Ch Wall Facilitate Lng Funcj 1 Demo&/Eval
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.79 | $22.93 | $133.81 | |
Cigna
| Professional | $23.23 | $35.19 | $76.81 | |
Providence
| Professional | $25.04 | $43.07 | $62.25 | |
United
| Professional | $32.40 | $39.22 | $46.19 |