| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.23 | $0.23 | $0.23 | |
Cigna
| Professional | $2.87 | $2.87 | $2.87 | |
Medica
| Facility | $100.00 | $100.00 | $760.00 | |
Medica
| Professional | $45.68 | $45.68 | $45.68 |
Surgical supply; miscellaneous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.23 | $0.23 | $0.23 | |
Cigna
| Professional | $2.87 | $2.87 | $2.87 | |
Medica
| Facility | $100.00 | $100.00 | $760.00 | |
Medica
| Professional | $45.68 | $45.68 | $45.68 |