| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.00 | $1.00 | |
Aetna
| Professional | $1.00 | $1.00 | $1.32 | |
BCBS
| Professional | $28.84 | $28.84 | $28.84 | |
Cigna
| Professional | $104.71 | $104.71 | $104.71 |
Therapeutic agent for urinary catheter irrigation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.00 | $1.00 | |
Aetna
| Professional | $1.00 | $1.00 | $1.32 | |
BCBS
| Professional | $28.84 | $28.84 | $28.84 | |
Cigna
| Professional | $104.71 | $104.71 | $104.71 |