| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.13 | $86.13 | $230.54 | |
Aetna
| Professional | $3.46 | $86.13 | $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 | $86.13 | $86.13 | $230.54 | |
Aetna
| Professional | $3.46 | $86.13 | $459.79 | |
Cigna
| Professional | $217.98 | $217.98 | $217.98 |