| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $22.91 | $22.91 | |
Aetna
| Professional | $7.94 | $10.96 | $13.49 | |
BCBS
| Professional | $19.95 | $25.12 | $25.12 | |
Cigna
| Professional | $13.18 | $18.20 | $33.88 |
Unlisted modality (specify type and time if constant attendance)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $22.91 | $22.91 | |
Aetna
| Professional | $7.94 | $10.96 | $13.49 | |
BCBS
| Professional | $19.95 | $25.12 | $25.12 | |
Cigna
| Professional | $13.18 | $18.20 | $33.88 |