| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health New England
| Professional | $3.63 | $3.63 | $3.63 | |
United
| Facility | $4.17 | $4.17 | $4.17 | |
United
| Professional | $2.69 | $54.95 | $67.61 |
Irrigation supply; sleeve, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health New England
| Professional | $3.63 | $3.63 | $3.63 | |
United
| Facility | $4.17 | $4.17 | $4.17 | |
United
| Professional | $2.69 | $54.95 | $67.61 |