| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $435.00 | $531.00 | $659.00 | |
Cigna
| Facility | $350.00 | $350.00 | $428.00 |
Capd / Composite Or Other Ra
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $435.00 | $531.00 | $659.00 | |
Cigna
| Facility | $350.00 | $350.00 | $428.00 |