| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,615.00 | $8,615.00 | $8,615.00 | |
Cigna
| Facility | $12,358.79 | $12,358.79 | $12,358.79 |
Aftercare Without Cc/Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,615.00 | $8,615.00 | $8,615.00 | |
Cigna
| Facility | $12,358.79 | $12,358.79 | $12,358.79 |