| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.10 | $9.47 | $47.57 | |
Cigna
| Professional | $8.42 | $8.42 | $8.42 | |
MVP Health Care
| Professional | $8.42 | $8.42 | $8.42 | |
United
| Professional | $4.84 | $11.65 | $60.08 |
Insertion Tray With Drainage Bag But Without Catheter (Special Coverage Instructions Apply. See Mcm: 2130)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.10 | $9.47 | $47.57 | |
Cigna
| Professional | $8.42 | $8.42 | $8.42 | |
MVP Health Care
| Professional | $8.42 | $8.42 | $8.42 | |
United
| Professional | $4.84 | $11.65 | $60.08 |