| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.54 | $17.89 | $17.89 | |
BCBS
| Professional | $28.00 | $34.00 | $34.00 | |
Cigna
| Professional | $17.89 | $26.32 | $47.00 |
Unlisted therapeutic procedure (specify)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.54 | $17.89 | $17.89 | |
BCBS
| Professional | $28.00 | $34.00 | $34.00 | |
Cigna
| Professional | $17.89 | $26.32 | $47.00 |