| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.96 | $98.36 | $173.83 | |
Cigna
| Professional | $147.91 | $147.91 | $147.91 | |
United
| Professional | $162.88 | $342.87 | $514.30 |
Misc W/Motor Score 45-53
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.96 | $98.36 | $173.83 | |
Cigna
| Professional | $147.91 | $147.91 | $147.91 | |
United
| Professional | $162.88 | $342.87 | $514.30 |