| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $753.60 | $880.00 | $942.00 | |
Cigna
| Facility | $586.29 | $586.29 | $586.29 |
Other Therapeutic Services - Other Therapeutic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $753.60 | $880.00 | $942.00 | |
Cigna
| Facility | $586.29 | $586.29 | $586.29 |