| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.76 | $21.76 | $21.76 | |
Cigna
| Professional | $22.57 | $26.98 | $27.58 | |
United
| Professional | $18.72 | $24.42 | $27.00 |
Therapeutic Prophylactic/Dx Njx Intra-Arterial
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.76 | $21.76 | $21.76 | |
Cigna
| Professional | $22.57 | $26.98 | $27.58 | |
United
| Professional | $18.72 | $24.42 | $27.00 |