| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.62 | $314.45 | $886.94 | |
Aetna
| Professional | $3.46 | $269.62 | $459.79 | |
Cigna
| Professional | $217.98 | $217.98 | $217.98 |
Adhesion barrier
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.62 | $314.45 | $886.94 | |
Aetna
| Professional | $3.46 | $269.62 | $459.79 | |
Cigna
| Professional | $217.98 | $217.98 | $217.98 |