| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,969.50 | $21,969.50 | $21,969.50 | |
Cigna
| Facility | $10,085.87 | $16,984.93 | $17,278.70 | |
United
| Facility | $7,816.12 | $9,796.00 | $10,315.00 |
Aftercare Without Cc/Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,969.50 | $21,969.50 | $21,969.50 | |
Cigna
| Facility | $10,085.87 | $16,984.93 | $17,278.70 | |
United
| Facility | $7,816.12 | $9,796.00 | $10,315.00 |