| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.00 | $120.00 | $120.00 | |
Aetna
| Professional | $12.50 | $12.50 | $12.50 | |
Cigna
| Professional | $50.00 | $70.72 | $105.33 | |
Molina
| Professional | $30.00 | $30.00 | $2,000.00 |
Unlisted Physical Medicine/Rehab Service/Px
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.00 | $120.00 | $120.00 | |
Aetna
| Professional | $12.50 | $12.50 | $12.50 | |
Cigna
| Professional | $50.00 | $70.72 | $105.33 | |
Molina
| Professional | $30.00 | $30.00 | $2,000.00 |