| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $47.86 | $47.86 | |
Aetna
| Professional | $32.36 | $50.12 | $245.47 | |
Cigna
| Professional | $39.81 | $67.61 | $83.18 | |
MVP Health Care
| Professional | $89.13 | $89.13 | $89.13 |
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 | $47.86 | $47.86 | $47.86 | |
Aetna
| Professional | $32.36 | $50.12 | $245.47 | |
Cigna
| Professional | $39.81 | $67.61 | $83.18 | |
MVP Health Care
| Professional | $89.13 | $89.13 | $89.13 |