| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.46 | $51.99 | $1,486.90 | |
Cigna
| Professional | $217.98 | $217.98 | $217.98 | |
HMSA
| Professional | $240.00 | $251.31 | $251.31 |
Adhesion barrier
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.46 | $51.99 | $1,486.90 | |
Cigna
| Professional | $217.98 | $217.98 | $217.98 | |
HMSA
| Professional | $240.00 | $251.31 | $251.31 |