| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.45 | $314.45 | $886.94 | |
Aetna
| Professional | $3.46 | $3.46 | $379.06 | |
Cigna
| Professional | $217.98 | $217.98 | $217.98 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Adhesion Barrier
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.45 | $314.45 | $886.94 | |
Aetna
| Professional | $3.46 | $3.46 | $379.06 | |
Cigna
| Professional | $217.98 | $217.98 | $217.98 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |