| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $12.50 | $17.50 | |
Cigna
| Professional | $176.85 | $211.89 | $255.12 | |
MVP Health Care
| Professional | $176.85 | $211.89 | $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 | $10.00 | $12.50 | $17.50 | |
Cigna
| Professional | $176.85 | $211.89 | $255.12 | |
MVP Health Care
| Professional | $176.85 | $211.89 | $255.12 |