| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.00 | $4.00 | $50.00 | |
Cigna
| Professional | $7.62 | $7.62 | $7.62 |
Mccd,maintenance rate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.00 | $4.00 | $50.00 | |
Cigna
| Professional | $7.62 | $7.62 | $7.62 |