| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.09 | $12.09 | $12.09 | |
Cigna
| Professional | $2.87 | $2.87 | $2.87 |
Surgical supply; miscellaneous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.09 | $12.09 | $12.09 | |
Cigna
| Professional | $2.87 | $2.87 | $2.87 |