| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $6.05 | $6.05 | $6.05 | |
Providence
| Professional | $6.05 | $6.05 | $6.05 | |
United
| Professional | $17.70 | $17.70 | $17.76 |
Bls Routine Disposable Supplies
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $6.05 | $6.05 | $6.05 | |
Providence
| Professional | $6.05 | $6.05 | $6.05 | |
United
| Professional | $17.70 | $17.70 | $17.76 |