| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.43 | $87.43 | $89.21 | |
Aetna
| Professional | $1.00 | $52.94 | $52.94 | |
Cigna
| Professional | $50.00 | $65.09 | $105.33 | |
Wellpoint
| Professional | $20.00 | $20.00 | $20.00 |
Unlisted Physical Medicine/Rehab Service/Px
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.43 | $87.43 | $89.21 | |
Aetna
| Professional | $1.00 | $52.94 | $52.94 | |
Cigna
| Professional | $50.00 | $65.09 | $105.33 | |
Wellpoint
| Professional | $20.00 | $20.00 | $20.00 |