| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.26 | $12.00 | $17.50 | |
Cigna
| Professional | $119.58 | $198.58 | $241.38 | |
Lucent Health
| Professional | $37.00 | $37.00 | $37.00 |
Addl Supl Matrl&Staf Tm Drg Phe Res-Tr Nfct Ds
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.26 | $12.00 | $17.50 | |
Cigna
| Professional | $119.58 | $198.58 | $241.38 | |
Lucent Health
| Professional | $37.00 | $37.00 | $37.00 |