| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54,449.00 | $107,098.00 | $137,504.00 | |
Cigna
| Facility | $58,684.23 | $116,142.64 | $163,168.37 | |
United
| Facility | $10,845.00 | $123,769.30 | $159,227.13 |
Poison&Toxic Effects Drugs Age >17 Wo Cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54,449.00 | $107,098.00 | $137,504.00 | |
Cigna
| Facility | $58,684.23 | $116,142.64 | $163,168.37 | |
United
| Facility | $10,845.00 | $123,769.30 | $159,227.13 |