| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.23 | $0.23 | $120.00 | |
Cigna
| Facility | $3.38 | $3.38 | $3.38 | |
Cigna
| Professional | $2.87 | $2.87 | $91.92 |
Surgical supply; miscellaneous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.23 | $0.23 | $120.00 | |
Cigna
| Facility | $3.38 | $3.38 | $3.38 | |
Cigna
| Professional | $2.87 | $2.87 | $91.92 |