| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.85 | $6.85 | $6.85 | |
Aetna
| Professional | $6.85 | $6.85 | $6.85 | |
United
| Professional | $5.25 | $6.72 | $15.00 |
Bls Routine Disposable Supplies
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.85 | $6.85 | $6.85 | |
Aetna
| Professional | $6.85 | $6.85 | $6.85 | |
United
| Professional | $5.25 | $6.72 | $15.00 |