| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $54.86 | $54.86 | $65.72 | |
Kaiser Permanente
| Professional | $48.00 | $175.00 | $194.25 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |
Elastic garment/covering
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $54.86 | $54.86 | $65.72 | |
Kaiser Permanente
| Professional | $48.00 | $175.00 | $194.25 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |