| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $313.68 | $378.00 | $378.00 | |
Aetna
| Professional | $38.00 | $50.50 | $378.00 | |
Cigna
| Professional | $255.00 | $305.00 | $452.50 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 |
Anesthesia complicated by utilization of total body hypothermia (List separately in addition to code for primary anesthesia procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $313.68 | $378.00 | $378.00 | |
Aetna
| Professional | $38.00 | $50.50 | $378.00 | |
Cigna
| Professional | $255.00 | $305.00 | $452.50 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 |