| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.93 | $134.12 | $975.50 | |
Aetna
| Professional | $41.06 | $47.75 | $57.26 | |
Cigna
| Professional | $55.25 | $66.69 | $89.20 | |
United
| Professional | $50.86 | $63.58 | $171.92 |
Principal Care Mgmt Svc Ea Adl 30 Phy/Qhp Cal Mo
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.93 | $134.12 | $975.50 | |
Aetna
| Professional | $41.06 | $47.75 | $57.26 | |
Cigna
| Professional | $55.25 | $66.69 | $89.20 | |
United
| Professional | $50.86 | $63.58 | $171.92 |