| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,183.00 | $14,183.00 | $14,183.00 | |
Cigna
| Facility | $23,424.00 | $23,424.00 | $23,424.00 |
Aftercare With Cc/Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,183.00 | $14,183.00 | $14,183.00 | |
Cigna
| Facility | $23,424.00 | $23,424.00 | $23,424.00 |