| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $26.92 | $45.71 | |
Cigna
| Professional | $26.30 | $38.90 | $89.13 | |
United
| Professional | $25.70 | $38.90 | $107.15 |
Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscopy or bronchoscopy procedures of lung and gastrointestinal tract)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $26.92 | $45.71 | |
Cigna
| Professional | $26.30 | $38.90 | $89.13 | |
United
| Professional | $25.70 | $38.90 | $107.15 |