| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.58 | $3.07 | $4.38 | |
Cigna
| Facility | $3.01 | $3.01 | $3.19 | |
Cigna
| Professional | $2.56 | $2.56 | $3.19 | |
United
| Professional | $1.67 | $2.50 | $3.77 |
Ostomy pouch, urinary; for use on barrier with nonlocking flange, with faucet-type tap with valve (two piece), each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.58 | $3.07 | $4.38 | |
Cigna
| Facility | $3.01 | $3.01 | $3.19 | |
Cigna
| Professional | $2.56 | $2.56 | $3.19 | |
United
| Professional | $1.67 | $2.50 | $3.77 |