| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.28 | $6.31 | $7.64 | |
Cigna
| Facility | $6.18 | $6.18 | $6.54 | |
Cigna
| Professional | $5.25 | $5.25 | $6.54 | |
United
| Professional | $4.62 | $5.51 | $8.55 |
Ostomy Belt Each (Special Coverage Instructions Apply. See Mcm: 2130a)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.28 | $6.31 | $7.64 | |
Cigna
| Facility | $6.18 | $6.18 | $6.54 | |
Cigna
| Professional | $5.25 | $5.25 | $6.54 | |
United
| Professional | $4.62 | $5.51 | $8.55 |