| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.42 | $23.08 | $34.71 | |
Cigna
| Facility | $19.37 | $19.37 | $19.37 | |
Cigna
| Professional | $16.19 | $16.46 | $19.37 | |
United
| Professional | $12.68 | $18.79 | $28.30 |
Insertion tray with drainage bag with indwelling catheter, Foley type, three-way, for continuous irrigation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.42 | $23.08 | $34.71 | |
Cigna
| Facility | $19.37 | $19.37 | $19.37 | |
Cigna
| Professional | $16.19 | $16.46 | $19.37 | |
United
| Professional | $12.68 | $18.79 | $28.30 |