| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.90 | $25.90 | $25.90 | |
Aetna
| Professional | $0.12 | $25.90 | $25.90 | |
Medica
| Facility | $2.47 | $28.49 | $56.20 | |
Medica
| Professional | $0.15 | $0.15 | $23.34 |
Disposable endoscope sheath, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.90 | $25.90 | $25.90 | |
Aetna
| Professional | $0.12 | $25.90 | $25.90 | |
Medica
| Facility | $2.47 | $28.49 | $56.20 | |
Medica
| Professional | $0.15 | $0.15 | $23.34 |