| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.96 | $4.72 | $6.73 | |
Cigna
| Facility | $4.62 | $4.62 | $5.71 | |
Cigna
| Professional | $3.93 | $3.93 | $5.71 | |
United
| Professional | $2.56 | $3.84 | $5.78 |
Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.96 | $4.72 | $6.73 | |
Cigna
| Facility | $4.62 | $4.62 | $5.71 | |
Cigna
| Professional | $3.93 | $3.93 | $5.71 | |
United
| Professional | $2.56 | $3.84 | $5.78 |