| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $579.00 | $579.00 | $579.00 | |
BCBS
| Facility | $30.48 | $371.55 | $1,617.11 | |
Cigna
| Facility | $242.00 | $616.00 | $816.89 |
Ccpd / Composite Or Other Ra
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $579.00 | $579.00 | $579.00 | |
BCBS
| Facility | $30.48 | $371.55 | $1,617.11 | |
Cigna
| Facility | $242.00 | $616.00 | $816.89 |