| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.00 | $50.00 | $50.00 | |
Aetna
| Professional | $32.50 | $50.00 | $140.00 | |
Cigna
| Professional | $50.00 | $84.55 | $106.03 | |
United
| Professional | $67.95 | $67.95 | $67.95 |
Anesthesia for patient of extreme age, younger than 1 year and older than 70 (List separately in addition to code for primary anesthesia procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.00 | $50.00 | $50.00 | |
Aetna
| Professional | $32.50 | $50.00 | $140.00 | |
Cigna
| Professional | $50.00 | $84.55 | $106.03 | |
United
| Professional | $67.95 | $67.95 | $67.95 |