| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.20 | $7.26 | $7.26 | |
Cigna
| Professional | $89.46 | $212.93 | $255.12 |
Addl Supl Matrl&Staf Tm Drg Phe Res-Tr Nfct Ds
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.20 | $7.26 | $7.26 | |
Cigna
| Professional | $89.46 | $212.93 | $255.12 |