| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $85.11 | $457.09 | |
Aetna
| Professional | $245.47 | $245.47 | $245.47 | |
Cigna
| Professional | $2.88 | $2.88 | $2.88 | |
United
| Professional | $10.96 | $11.48 | $12.88 |
Surgical supply; miscellaneous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $85.11 | $457.09 | |
Aetna
| Professional | $245.47 | $245.47 | $245.47 | |
Cigna
| Professional | $2.88 | $2.88 | $2.88 | |
United
| Professional | $10.96 | $11.48 | $12.88 |