| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $138.77 | $162.16 | $215.53 | |
Cigna
| Professional | $51.75 | $54.86 | $65.72 | |
Molina
| Professional | $58.40 | $58.40 | $58.40 | |
Quartz
| Facility | $60.00 | $80.00 | $80.00 |
Elastic garment/covering
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $138.77 | $162.16 | $215.53 | |
Cigna
| Professional | $51.75 | $54.86 | $65.72 | |
Molina
| Professional | $58.40 | $58.40 | $58.40 | |
Quartz
| Facility | $60.00 | $80.00 | $80.00 |