| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,250.00 | $2,250.00 | $2,250.00 |
Alternative Therapy Services-Other Alternative Therapy Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,250.00 | $2,250.00 | $2,250.00 |