| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $165.96 | $165.96 | |
BCBS
| Facility | $83.18 | $91.20 | $3,235.94 | |
Cigna
| Facility | $147.91 | $147.91 | $1,230.27 |
Other Therapeutic Services (see also 095X, an extension of 094X)-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $165.96 | $165.96 | |
BCBS
| Facility | $83.18 | $91.20 | $3,235.94 | |
Cigna
| Facility | $147.91 | $147.91 | $1,230.27 |
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