| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $4.90 | $4.90 | $6.03 | |
Medica
| Facility | $89.13 | $89.13 | $89.13 | |
Medica
| Professional | $21.38 | $21.38 | $21.38 |
Irrigation supply; sleeve, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $4.90 | $4.90 | $6.03 | |
Medica
| Facility | $89.13 | $89.13 | $89.13 | |
Medica
| Professional | $21.38 | $21.38 | $21.38 |