| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.75 | $48.75 | $122.46 | |
Cigna
| Professional | $204.70 | $204.70 | $204.70 | |
United
| Professional | $168.00 | $168.00 | $168.00 |
Phys/Qhp Direction Emergency Medical Systems
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.75 | $48.75 | $122.46 | |
Cigna
| Professional | $204.70 | $204.70 | $204.70 | |
United
| Professional | $168.00 | $168.00 | $168.00 |