| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.06 | $13.06 | $13.06 | |
Aetna
| Professional | $0.12 | $8.19 | $13.06 | |
Molina
| Professional | $30.00 | $30.00 | $75.00 |
Disposable Endoscope Sheath Each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.06 | $13.06 | $13.06 | |
Aetna
| Professional | $0.12 | $8.19 | $13.06 | |
Molina
| Professional | $30.00 | $30.00 | $75.00 |