| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.76 | $22.31 | $26.43 | |
CareSource
| Professional | $25.80 | $25.80 | $25.80 | |
Cigna
| Professional | $22.00 | $30.09 | $106.98 | |
United
| Professional | $16.45 | $23.93 | $34.77 |
Manj Ch Wall Facilitate Lng Funcj 1 Demo&/Eval
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.76 | $22.31 | $26.43 | |
CareSource
| Professional | $25.80 | $25.80 | $25.80 | |
Cigna
| Professional | $22.00 | $30.09 | $106.98 | |
United
| Professional | $16.45 | $23.93 | $34.77 |