| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.90 | $25.90 | $25.90 | |
Aetna
| Professional | $0.12 | $0.12 | $25.90 | |
Moda Health
| Facility | $0.12 | $0.12 | $0.15 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 |
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 | $0.12 | $25.90 | |
Moda Health
| Facility | $0.12 | $0.12 | $0.15 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 |