| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.83 | $20.83 | $20.83 | |
Aetna
| Professional | $20.83 | $20.83 | $20.83 | |
BCBS
| Facility | $51.41 | $62.39 | $83.93 | |
Cigna
| Facility | $60.00 | $65.00 | $70.00 |
Php/Iop Ot Service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.83 | $20.83 | $20.83 | |
Aetna
| Professional | $20.83 | $20.83 | $20.83 | |
BCBS
| Facility | $51.41 | $62.39 | $83.93 | |
Cigna
| Facility | $60.00 | $65.00 | $70.00 |