| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.78 | $84.95 | $125.20 | |
Cigna
| Professional | $118.80 | $118.80 | $118.80 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 |
Work Related/Med Dblt Xm Treating Phys
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.78 | $84.95 | $125.20 | |
Cigna
| Professional | $118.80 | $118.80 | $118.80 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 |