| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,218.10 | $16,218.10 | $16,218.10 | |
Cigna
| Facility | $21,877.62 | $21,877.62 | $21,877.62 |
Concussion With Cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,218.10 | $16,218.10 | $16,218.10 | |
Cigna
| Facility | $21,877.62 | $21,877.62 | $21,877.62 |