| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.86 | $61.66 | $109.65 | |
Cigna
| Professional | $48.98 | $81.28 | $158.49 | |
United
| Professional | $63.10 | $97.72 | $194.98 |
Diaphragm or cervical cap fitting with instructions
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.86 | $61.66 | $109.65 | |
Cigna
| Professional | $48.98 | $81.28 | $158.49 | |
United
| Professional | $63.10 | $97.72 | $194.98 |