| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.00 | $157.00 | $686.00 | |
BCBS
| Facility | $312.29 | $642.00 | $842.53 | |
Cigna
| Facility | $112.00 | $112.00 | $122.81 |
Other Therapeutic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.00 | $157.00 | $686.00 | |
BCBS
| Facility | $312.29 | $642.00 | $842.53 | |
Cigna
| Facility | $112.00 | $112.00 | $122.81 |
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