| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,630.27 | $2,630.27 | $2,630.27 | |
Cigna
| Facility | $724.44 | $724.44 | $724.44 |
Specialty Services-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,630.27 | $2,630.27 | $2,630.27 | |
Cigna
| Facility | $724.44 | $724.44 | $724.44 |