| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $526.00 | $526.00 | $526.00 | |
BCBS
| Facility | $221.24 | $232.29 | $244.52 | |
Cigna
| Facility | $800.00 | $800.00 | $800.00 |
Ccpd / Composite Or Other Ra
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $526.00 | $526.00 | $526.00 | |
BCBS
| Facility | $221.24 | $232.29 | $244.52 | |
Cigna
| Facility | $800.00 | $800.00 | $800.00 |