| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.91 | $14.91 | $14.91 | |
Aetna
| Professional | $13.97 | $14.91 | $14.91 | |
Cigna
| Professional | $37.00 | $89.84 | $116.06 | |
United
| Professional | $13.91 | $17.28 | $18.23 |
Unlisted therapeutic procedure (specify)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.91 | $14.91 | $14.91 | |
Aetna
| Professional | $13.97 | $14.91 | $14.91 | |
Cigna
| Professional | $37.00 | $89.84 | $116.06 | |
United
| Professional | $13.91 | $17.28 | $18.23 |