| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.95 | $12.95 | $13.26 | |
Cigna
| Professional | $13.26 | $13.26 | $13.26 | |
United
| Professional | $12.53 | $13.00 | $19.50 |
Misc W/Motor Score 12-32
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.95 | $12.95 | $13.26 | |
Cigna
| Professional | $13.26 | $13.26 | $13.26 | |
United
| Professional | $12.53 | $13.00 | $19.50 |