| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.87 | $213.87 | $424.92 | |
Aetna
| Professional | $3.46 | $225.00 | $714.48 | |
Cigna
| Professional | $217.98 | $217.98 | $217.98 |
Adhesion Barrier
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.87 | $213.87 | $424.92 | |
Aetna
| Professional | $3.46 | $225.00 | $714.48 | |
Cigna
| Professional | $217.98 | $217.98 | $217.98 |