| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.00 | $202.12 | $202.12 | |
Aetna
| Professional | $52.94 | $52.94 | $52.94 | |
Cigna
| Professional | $50.00 | $70.72 | $105.33 | |
Molina
| Professional | $30.00 | $34.61 | $60.00 |
Unlisted Physical Medicine/Rehab Service/Px
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.00 | $202.12 | $202.12 | |
Aetna
| Professional | $52.94 | $52.94 | $52.94 | |
Cigna
| Professional | $50.00 | $70.72 | $105.33 | |
Molina
| Professional | $30.00 | $34.61 | $60.00 |