| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.00 | $23.68 | $23.68 | |
Cigna
| Facility | $113.00 | $113.00 | $113.00 | |
Cigna
| Professional | $70.50 | $75.72 | $88.13 |
Hhcp-Serv Of Ot,Ea 15 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.00 | $23.68 | $23.68 | |
Cigna
| Facility | $113.00 | $113.00 | $113.00 | |
Cigna
| Professional | $70.50 | $75.72 | $88.13 |