| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.81 | $5.81 | $6.85 | |
United
| Professional | $7.27 | $7.27 | $7.27 |
Als Routine Disposable Supplies
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.81 | $5.81 | $6.85 | |
United
| Professional | $7.27 | $7.27 | $7.27 |