| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,200.00 | $1,275.00 | $1,275.00 | |
Cigna
| Professional | $1,275.00 | $1,275.00 | $1,275.00 | |
United
| Professional | $1,250.00 | $1,250.00 | $1,250.00 |
Misc W/Motor Score 54-84
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,200.00 | $1,275.00 | $1,275.00 | |
Cigna
| Professional | $1,275.00 | $1,275.00 | $1,275.00 | |
United
| Professional | $1,250.00 | $1,250.00 | $1,250.00 |